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[20条海鲷的命运。海分支杆菌感染]

[The fate of 20 sea breams. Mycobacterium marinum infection].

作者信息

Schefzyk M, Richter E, Röhrbein J H, Schaefer T, Wedi B, Raap U

机构信息

Klinik für Dermatologie, Allergologie und Venerologie, Medizinische Hochschule Hannover, Ricklinger Str. 5, 30449, Hannover, Deutschland.

出版信息

Hautarzt. 2012 Sep;63(9):716-8. doi: 10.1007/s00105-011-2316-5.

DOI:10.1007/s00105-011-2316-5
PMID:22406761
Abstract

Cutaneous infections with Mycobacterium marinum are rare. They also are known as swimming pool or fish tank granulomas. Often the history of contact with contaminated water associated with microtrauma of the upper extremities leads to the correct diagnosis. Since chlorination of swimming pools has become standard, cases of swimming pool granuloma have become rare. Contact with fish tanks now is the most common route of infection. Positive culture of skin biopsy leads to the correct diagnosis. Moxifloxacin in combination with other antibiotics is often effective.

摘要

海分枝杆菌引起的皮肤感染较为罕见。它们也被称为游泳池或鱼缸肉芽肿。通常,上肢微创伤后接触受污染水的病史有助于做出正确诊断。自从游泳池氯化消毒成为标准操作以来,游泳池肉芽肿病例已变得罕见。现在,接触鱼缸是最常见的感染途径。皮肤活检培养阳性可做出正确诊断。莫西沙星联合其他抗生素通常有效。

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本文引用的文献

1
First report of disseminated Mycobacterium skin infections in two liver transplant recipients and rapid diagnosis by hsp65 gene sequencing.首例肝移植术后播散性皮肤分枝杆菌感染两例报告及 hsp65 基因测序快速诊断
J Clin Microbiol. 2011 Nov;49(11):3733-8. doi: 10.1128/JCM.05088-11. Epub 2011 Aug 31.
2
Characteristics of skin and soft tissue infection caused by non-tuberculous mycobacteria in Taiwan.台湾地区非结核分枝杆菌引起的皮肤和软组织感染的特征。
Int J Tuberc Lung Dis. 2011 Jun;15(6):811-7. doi: 10.5588/ijtld.10.0481.
3
[Infections due to Mycobacterium marinum: a review].
[海分枝杆菌感染:综述]
Hautarzt. 2011 Apr;62(4):266-71. doi: 10.1007/s00105-010-2095-4.
4
Clinical patterns of cutaneous nontuberculous mycobacterial infections.皮肤非结核分枝杆菌感染的临床模式
Br J Dermatol. 2005 Apr;152(4):727-34. doi: 10.1111/j.1365-2133.2005.06519.x.
5
Fish tank exposure and cutaneous infections due to Mycobacterium marinum: tuberculin skin testing, treatment, and prevention.鱼缸接触与海分支杆菌引起的皮肤感染:结核菌素皮肤试验、治疗及预防
Clin Infect Dis. 2003 Aug 1;37(3):390-7. doi: 10.1086/376628. Epub 2003 Jul 18.
6
Antibiotic susceptibility pattern of Mycobacterium marinum.海分枝杆菌的抗生素敏感性模式
Antimicrob Agents Chemother. 2000 Nov;44(11):3133-6. doi: 10.1128/AAC.44.11.3133-3136.2000.
7
Retrospective study of Mycobacterium marinum skin infections.海分枝杆菌皮肤感染的回顾性研究。
Int J Dermatol. 2000 May;39(5):343-7. doi: 10.1046/j.1365-4362.2000.00916.x.
8
Recurrent, disseminated Mycobacterium marinum infection caused by the same genotypically defined strain in an immunocompromised patient.一名免疫功能低下患者由同一基因分型菌株引起的复发性播散性海分枝杆菌感染。
J Clin Microbiol. 1999 Sep;37(9):3059-61. doi: 10.1128/JCM.37.9.3059-3061.1999.