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意外被手术刀刺伤后原发性接种性肺结核。

Primary inoculation tuberculosis after an accidental scalpel injury.

机构信息

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, 507 Zhengmin Road, Yangpu District, Shanghai, 200433, People's Republic of China.

出版信息

Infection. 2013 Aug;41(4):841-4. doi: 10.1007/s15010-013-0442-y. Epub 2013 Mar 7.

Abstract

Tuberculosis (TB) infection in healthcare personnel occurs mostly by mycobacteria inhalation and contact with infected material. Here, we report a case of primary inoculation TB in a surgeon resulting from an accidental scalpel injury. Standard anti-TB treatment produced a good result, and no relapses occurred in the 18-month follow-up period. Given the increased incidence of TB and the use of surgery to treat multidrug-resistant (MDR) strains, this report underscores the need to take special precautions during lesion excision in TB patients.

摘要

医护人员的结核(TB)感染主要通过分枝杆菌吸入和接触受感染的物质引起。在此,我们报告了一例因意外手术刀损伤导致的外科医生原发性接种性 TB 病例。标准抗结核治疗效果良好,18 个月随访期间无复发。鉴于结核病发病率的增加以及手术治疗耐多药(MDR)菌株的应用,本报告强调了在 TB 患者进行病灶切除时需要采取特殊预防措施。

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