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多灶性溃疡性坏死性皮肤病变——一个令人羞愧的病例。

Multifocal ulceronecrotic skin lesions-A stigmatizing case.

作者信息

Bernier Fanny-Emmanuelle, Grandjean Lapierre Simon, El-Housseini Arwa, Nantel-Battista Mélissa, Barkati Sapha

机构信息

Division of Dermatology, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada.

Division of Microbiology and Infectious Diseases, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada.

出版信息

IDCases. 2017 Sep 11;10:61-62. doi: 10.1016/j.idcr.2017.08.018. eCollection 2017.

DOI:10.1016/j.idcr.2017.08.018
PMID:28932687
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5597813/
Abstract

is a rapidly growing nontuberculous mycobacteria, ubiquitous in the environment and mostly involved in skin, soft tissue and bone infections. An atypical, severe and multifocal dermatological manifestation of infection in an immunocompetent patient is described here. The lesions completely resolved using a multidisciplinary approach. This case emphasizes the important aspects of diagnosis, antimicrobial and surgical management.

摘要

是一种快速生长的非结核分枝杆菌,在环境中普遍存在,主要累及皮肤、软组织和骨骼感染。本文描述了一名免疫功能正常患者感染后的非典型、严重且多灶性皮肤表现。采用多学科方法后病变完全消退。该病例强调了诊断、抗菌治疗和手术管理的重要方面。

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本文引用的文献

1
Induction therapy with linezolid/clarithromycin combination for Mycobacterium chelonae skin infections in immunocompromised hosts.利奈唑胺/克拉霉素联合诱导疗法治疗免疫功能低下宿主的龟分枝杆菌皮肤感染。
J Eur Acad Dermatol Venereol. 2016 Jan;30(1):101-5. doi: 10.1111/jdv.12965. Epub 2015 Feb 11.
2
An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases.美国胸科学会/美国感染病学会官方声明:非结核分枝杆菌病的诊断、治疗与预防
Am J Respir Crit Care Med. 2007 Feb 15;175(4):367-416. doi: 10.1164/rccm.200604-571ST.