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脂肪填充后继发臀部龟分枝杆菌感染:1例报告并文献复习

Mycobacterium Chelonae Infection of the Buttocks Secondary to Lipofilling: A Case Report and Review of the Literature.

作者信息

Hammond Sarah E, Al-Bayati Ahmed, Joumblat Natalie, Salgado Christopher J

机构信息

Division of Plastic Surgery, University of Miami, 1120 NW 14th Street 4th Floor, Miami, FL, 33136, USA.

University of Miami Miller School of Medicine, Miami, FL, USA.

出版信息

Aesthetic Plast Surg. 2017 Oct;41(5):1150-1154. doi: 10.1007/s00266-017-0890-3. Epub 2017 May 19.

DOI:10.1007/s00266-017-0890-3
PMID:28526906
Abstract

Mycobacterium chelonae is a nontuberculous mycobacterium, classified as a Runyon type IV mycobacterium. In relation to humans, it is most commonly associated with tissue trauma or pulmonary infections. The majority of medical reports describe finding M. chelonae in the surgical setting, attributing infection to inadequate sterilization of surgical equipment. Symptoms are often nonspecific and include pain, erythema, and draining subcutaneous nodules and skin lesions. Therefore, the diagnosis of M. chelonae is often difficult to establish without prior suspicion of the disease, but can be confirmed with culture. We will describe the case of a 40-year-old female who contracted M. chelonae infection of the buttocks after abdominal liposuction and gluteal fat injection. We will describe her symptomatology, diagnosis, and successful treatment with surgical excision and antibiotics. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

龟分枝杆菌是一种非结核分枝杆菌,被归类为Runyon IV型分枝杆菌。与人类相关的情况下,它最常与组织创伤或肺部感染有关。大多数医学报告描述在手术环境中发现龟分枝杆菌,将感染归因于手术设备消毒不充分。症状通常是非特异性的,包括疼痛、红斑、皮下引流结节和皮肤病变。因此,在没有事先怀疑该病的情况下,龟分枝杆菌的诊断往往很难确立,但可以通过培养来确诊。我们将描述一名40岁女性在腹部吸脂和臀部脂肪注射后感染龟分枝杆菌的病例。我们将描述她的症状、诊断以及通过手术切除和抗生素进行的成功治疗。证据级别V 本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。

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