Wollina Uwe, Lotti Torello, Tchernev Georgi
Stadtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen, Germany.
University G. Marconi of Rome - Dermatology and Venereology, Rome, Italy.
Open Access Maced J Med Sci. 2018 Jan 9;6(1):85-86. doi: 10.3889/oamjms.2018.050. eCollection 2018 Jan 25.
Infections of the skin and soft tissues (SSTI) are clinical entities with variable presentations, causes, and levels of clinical severity. They are frequent in emergency departments. The most common pathogen in the Western World is . SSTI may provide a hint to underlying pathologies such as diabetes and other states of immune compromise. Here we present a 41-year-old non-diabetic male patient with pain and swelling of the left forefoot but not any recent trauma. Microbiology identified streptococci. The medical history was positive for intravenous heroin abuse. The diagnosis of forefoot phlegm due to drug addition was confirmed. Treatment was realised by a combination of intravenous antibiosis and drainage. Intravenous drug addiction is a significant risk factor for SSTI.
皮肤和软组织感染（SSTI）是临床表现、病因及临床严重程度各异的临床病症。它们在急诊科很常见。在西方世界，最常见的病原体是 。SSTI可能提示潜在的病理状况，如糖尿病和其他免疫功能低下状态。在此，我们报告一名41岁非糖尿病男性患者，其左前足疼痛肿胀，但近期无外伤史。微生物学检查发现链球菌。病史显示该患者有静脉注射海洛因滥用史。确诊为因药物成瘾导致的前足脓肿。通过静脉抗生素治疗和引流相结合的方式进行治疗。静脉药物成瘾是SSTI的一个重要危险因素。
