Rappaport W, Dunington G, Norton L, Ladin D, Peterson E, Ballard J
Department of Surgery, University of Arizona Health Sciences Center, Tucson 85724.
Surgery. 1990 Jul;108(1):36-9.
Group IV atypical mycobacterial infections, especially Mycobacterium fortuitum and M. chelonei, are being reported with increased frequency. We report our experience with five cases of soft-tissue infection with these acid-fast bacilli. Often these infections are chronic, with formation of abscesses and multiple fistulas. Optimal surgical treatment often requires wide excision of all diseased tissue followed by delayed closure. Presentation, optimal surgical management, and antibiotic therapy are discussed.
第四组非典型分枝杆菌感染，尤其是偶然分枝杆菌和龟分枝杆菌感染的报告频率正在增加。我们报告了5例由这些抗酸杆菌引起的软组织感染的经验。这些感染通常是慢性的，会形成脓肿和多个瘘管。最佳的手术治疗通常需要广泛切除所有病变组织，然后延期缝合。本文讨论了其临床表现、最佳手术处理方法及抗生素治疗。
