Lan Nguyen Phu Huong, Kolader Marion-Eliëtte, Van Dung Nguyen, Campbell James I, Tham Nguyen Thi, Chau Nguyen Van Vinh, van Doorn H Rogier, Le Dien Hoa
The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam.
Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam.
BMC Infect Dis. 2014 Nov 11;14:550. doi: 10.1186/s12879-014-0550-z.
Iatrogenic skin and soft tissue infections by rapidly growing mycobacteria are described with increasing frequency, especially among immunocompromised patients.
Here, we present an immunocompetent patient with extensive Mycobacterium fortuitum skin and soft tissue infections after subcutaneous injections to relieve joint pains by a Vietnamese traditional medicine practitioner. Moreover, we present dilemmas faced in less resourceful settings, influencing patient management.
This case illustrates the pathogenic potential of rapid growing mycobacteria in medical or non-medical skin penetrating procedures, their world-wide distribution and demonstrates the dilemmas faced in settings with fewer resources.
由快速生长分枝杆菌引起的医源性皮肤和软组织感染的报道日益增多，尤其是在免疫功能低下的患者中。
在此，我们报告一例免疫功能正常的患者，在由一名越南传统医学从业者进行皮下注射以缓解关节疼痛后，发生了广泛的偶然分枝杆菌皮肤和软组织感染。此外，我们还介绍了在资源较少的环境中面临的困境，这些困境影响了患者的管理。
本病例说明了快速生长分枝杆菌在医疗或非医疗性皮肤穿刺操作中的致病潜力、它们在全球的分布情况，并展示了在资源较少的环境中所面临的困境。
