Patel Shivani S, Tavana M Lance, Boger M Sean, Win Soe Soe, Rimawi Bassam H
Division of Infectious Diseases, Department of Internal Medicine and Dermatology, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA.
Division of Plastic Surgery, Department of General Surgery, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA.
Case Rep Infect Dis. 2014;2014:702613. doi: 10.1155/2014/702613. Epub 2014 Nov 19.
Cutaneous infections caused by Mycobacterium marinum have been attributed to aquarium or fish exposure after a break in the skin barrier. In most instances, the upper limbs and fingers account for a majority of the infection sites. While previous cases of necrotizing soft tissue infections related to M. marinum have been documented, the importance of our presenting case is to illustrate the aggressive nature of M. marinum resulting in a persistent necrotizing soft tissue infection of a finger that required multiple aggressive wound debridements, followed by an amputation of the affected extremity, in order to hasten recovery.
海分枝杆菌引起的皮肤感染被认为是皮肤屏障破损后接触水族馆或鱼类所致。在大多数情况下，上肢和手指是主要的感染部位。虽然之前已有与海分枝杆菌相关的坏死性软组织感染病例的记录，但我们所呈现的这个病例的重要性在于，它说明了海分枝杆菌具有侵袭性，可导致手指持续性坏死性软组织感染，需要多次积极的伤口清创，随后对受影响的肢体进行截肢，以加速康复。
