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浸泡和涂抹疗法后出现的暴发性疖病。

Eruptive furunculosis following the soak and smear regimen.

作者信息

Martires Kathryn, Sukhdeo Kumar, Meinhardt Eric

机构信息

Ronald O Perelman Department of Dermatology, New York University School of Medicine, New York, New York, USA.

Case Western Reserve University, Cleveland, Ohio, USA.

出版信息

BMJ Case Rep. 2015 Feb 18;2015:bcr2014207907. doi: 10.1136/bcr-2014-207907.

DOI:10.1136/bcr-2014-207907
PMID:25694635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4336880/
Abstract

The 'soak and smear' regimen is a highly effective method for localised topical therapy employed by dermatologists for widespread inflammatory skin conditions. The regimen involves application of topical medication under occlusion after soaking in water. Complications from this treatment method are rare. We present a case of multiple, generalised methicillin-resistant Staphylococcus aureus (MRSA)-positive furuncles arising in a patient as an unexpected consequence of therapy. The case highlights an unanticipated risk of a commonly employed treatment amid an epidemic of MRSA in the community.

摘要

“浸泡涂抹”疗法是皮肤科医生用于广泛炎症性皮肤病局部外用治疗的一种高效方法。该疗法包括在水中浸泡后在封闭状态下涂抹外用药物。这种治疗方法的并发症很少见。我们报告一例患者因该治疗意外出现多发、全身性耐甲氧西林金黄色葡萄球菌(MRSA)阳性疖肿的病例。该病例凸显了在社区MRSA流行期间一种常用治疗方法存在的意外风险。

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本文引用的文献

1
Nosocomial outbreak of multidrug-resistant USA300 methicillin-resistant Staphylococcus aureus causing severe furuncles and carbuncles in Japan.日本发生耐甲氧西林金黄色葡萄球菌 USA300 医院感染,导致严重疖和痈。
J Dermatol. 2011 Dec;38(12):1167-71. doi: 10.1111/j.1346-8138.2011.01284.x. Epub 2011 Oct 18.
2
Wet dressing therapy in conjunction with topical corticosteroids is effective for rapid control of severe pediatric atopic dermatitis: experience with 218 patients over 30 years at Mayo Clinic.湿性敷料疗法联合局部皮质类固醇治疗对迅速控制严重儿童特应性皮炎有效:梅奥诊所 30 年来 218 例患者的经验。
J Am Acad Dermatol. 2012 Jul;67(1):100-6. doi: 10.1016/j.jaad.2011.06.025. Epub 2011 Oct 5.
3
Panton-Valentine leukocidin-positive Staphylococcus aureus strains are associated with follicular skin infections.Panton-Valentine 白细胞毒素阳性金黄色葡萄球菌菌株与滤泡性皮肤感染有关。
Dermatology. 2011;222(2):167-70. doi: 10.1159/000324044. Epub 2011 Feb 22.
4
Association of recurrent furunculosis with Panton-Valentine leukocidin and the genetic background of Staphylococcus aureus.复发性疖病与葡萄球菌杀白细胞素和金黄色葡萄球菌遗传背景的关系。
J Clin Microbiol. 2010 May;48(5):1527-35. doi: 10.1128/JCM.02094-09. Epub 2010 Mar 3.
5
Wet dressings used with topical corticosteroids for pruritic dermatoses: A retrospective study.用于瘙痒性皮肤病的局部皮质类固醇激素湿敷料:一项回顾性研究。
J Am Acad Dermatol. 2009 May;60(5):792-800. doi: 10.1016/j.jaad.2008.12.043.
6
Invasive methicillin-resistant Staphylococcus aureus infections in the United States.美国侵袭性耐甲氧西林金黄色葡萄球菌感染
JAMA. 2007 Oct 17;298(15):1763-71. doi: 10.1001/jama.298.15.1763.
7
Treatment of patients with atopic dermatitis using wet-wrap dressings with diluted steroids and/or emollients. An expert panel's opinion and review of the literature.使用稀释类固醇和/或润肤剂的湿包裹敷料治疗特应性皮炎患者。专家小组的意见及文献综述。
J Eur Acad Dermatol Venereol. 2006 Nov;20(10):1277-86. doi: 10.1111/j.1468-3083.2006.01790.x.
8
Soak and smear: a standard technique revisited.浸泡与涂片:一种重新审视的标准技术。
Arch Dermatol. 2005 Dec;141(12):1556-9. doi: 10.1001/archderm.141.12.1556.
9
The association between Staphylococcus aureus strains carrying panton-valentine leukocidin genes and the development of deep-seated follicular infection.携带杀白细胞素基因的金黄色葡萄球菌菌株与深部毛囊感染发生之间的关联。
Clin Infect Dis. 2005 Feb 1;40(3):381-5. doi: 10.1086/427290. Epub 2005 Jan 6.
10
It's not a spider bite, it's community-acquired methicillin-resistant Staphylococcus aureus.这不是蜘蛛咬伤,而是社区获得性耐甲氧西林金黄色葡萄球菌感染。
J Am Board Fam Pract. 2004 May-Jun;17(3):220-6. doi: 10.3122/jabfm.17.3.220.