一名“寿司厨师”的海分支杆菌手部感染
Mycobacterium marinum Hand Infection in a "Sushi Chef".
作者信息
Cennimo David J, Agag Richard, Fleegler Earl, Lardizabal Alfred, Klein Kenneth M, Wenokor Cornelia, Swaminathan Shobha
机构信息
Division of Infectious Diseases, Department of Medicine, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, USA.
出版信息
Eplasty. 2009 Oct 14;9:e43.
OBJECTIVE
We present the case of a sushi chef with pain and swelling of his index finger and wrist for a year, unresponsive to antibiotics.
METHODS
Biopsy showed a xanthogranulomatous reaction and positive culture results for Mycobacterium marinum.
RESULTS
He was treated with minocycline, clarithromycin, and ethambutol. In addition, he underwent radical synovectomy of the lesion.
CONCLUSION
The combined medical and surgical approach resulted in a positive outcome.
目的
我们报告一例寿司厨师病例，其食指和手腕疼痛肿胀一年，对抗生素治疗无反应。
方法
活检显示为黄色肉芽肿反应，海分枝杆菌培养结果呈阳性。
结果
他接受了米诺环素、克拉霉素和乙胺丁醇治疗。此外，他还接受了病变部位的根治性滑膜切除术。
结论
药物和手术联合治疗取得了良好效果。
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