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[皮肤科中的铜绿假单胞菌]

[Pseudomonas aeruginosa in dermatology].

作者信息

Morand A, Morand J-J

机构信息

Service de spécialités pédiatriques et de médecine infantile, hôpital de la Timone, CHU de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.

Service de dermatologie, hôpital d'instruction des armées Sainte-Anne, 83800 Toulon, France.

出版信息

Ann Dermatol Venereol. 2017 Nov;144(11):666-675. doi: 10.1016/j.annder.2017.06.015. Epub 2017 Aug 2.

Abstract

Pseudomonas aeruginosa, a ubiquitous Gram-negative bacillus characterized by its greenish color and sweetish smell, is at the origin of potentially severe forms of dermatosis, such as ecthyma gangrenosum which marks immunosuppression or reveals blood-poisoning, especially in children. It frequently colonizes chronic wounds and serious burns, and spongiotic or acantholytic dermatosis, especially when severe or localized in skinfolds. It requires special care because of its high resistance to antibiotics and antiseptics. It can also involve folliculitis favored by water sports or a nail disorder (chloronychia).

摘要

铜绿假单胞菌是一种无处不在的革兰氏阴性杆菌,其特征为呈绿色且有甜味,它是潜在严重皮肤病的病因,比如坏疽性脓皮病,这表明存在免疫抑制或提示败血症,尤其是在儿童中。它经常定植于慢性伤口和严重烧伤处,以及海绵状或棘层松解性皮肤病,尤其是当病情严重或局限于皮肤褶皱处时。由于其对抗生素和防腐剂具有高度耐药性,因此需要特别护理。它还可能引发因水上运动或指甲疾病(绿甲综合征)而诱发的毛囊炎。

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