叠加耐甲氧西林金黄色葡萄球菌感染的外阴湿疹性皮炎：一例报告
Superimposed methicillin-resistant Staphylococcus aureus infection of vulvar eczematous dermatitis: a case report.
作者信息
Carey Erin, Zedek Daniel, Lewis Jasmine, Zolnoun Denniz
机构信息
Pelvic Pain Research Unit, Division of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 4010 Old Clinic Building, CB #7570, Chapel Hill, NC 27599, USA.
出版信息
J Reprod Med. 2013 May-Jun;58(5-6):261-3.
BACKGROUND
Vulvar eczematous dermatitis predisposes patients to superimposed infections, which may result in late diagnosis and architectural destruction. Methicillin-resistant Staphylococcus aureus (MRSA) infection is on the rise in genitalia and lower extremities.
CASE
A 44-year-old woman presented with recurrent vulvar lesions and pain. A diagnosis of MRSA in the setting of eczema was achieved with concomitant use of photography and dermatopathologic review. Antibiotics were tailored to the resistant infection and preventative moisturization therapy was utilized.
CONCLUSION
Awareness of dermatologic conditions affecting the vulva is principal in routine gynecologic care. Barrier protection of eczematous vulvar skin may prevent superficial infections. The regular use of photographic documentation and dermatopathology may decrease time to diagnosis with infrequent or rare conditions.
背景
外阴湿疹性皮炎使患者易发生叠加感染，这可能导致诊断延迟和组织结构破坏。耐甲氧西林金黄色葡萄球菌（MRSA）感染在生殖器和下肢呈上升趋势。
病例
一名44岁女性出现复发性外阴病变和疼痛。通过摄影和皮肤病理学检查相结合，确诊为湿疹合并MRSA感染。根据耐药感染情况选用抗生素，并采用预防性保湿治疗。
结论
在常规妇科护理中，了解影响外阴的皮肤病至关重要。对湿疹性外阴皮肤进行屏障保护可预防浅表感染。定期使用摄影记录和皮肤病理学检查可减少诊断罕见或不常见病症的时间。
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