DuBow Anaïs, Morand Meggie, Désy Delphine, Krasny Mark
Faculty of Medicine, University of Montreal, Montreal, QC, Canada.
Department of Pathology, Maisonneuve-Rosemont Hospital, Montreal, QC, Canada.
SAGE Open Med Case Rep. 2019 Apr 26;7:2050313X19845231. doi: 10.1177/2050313X19845231. eCollection 2019.
is a species of mycobacteria that can be found ubiquitously in the environment. It can be found in soil, water, and in aquatic animals. Infections with this pathogen usually involve the soft tissues, eyes, bones, and skin. We present the case of a recurrence of a sporotrichoid cutaneous infection by in an immunocompromised 31-year-old woman with systemic lupus erythematosus. The patient originally developed a swelling of her right foot followed by a sporotrichoid pattern of infection on her right lower leg. A susceptibility profile was established, and treatment with linezolid and clarithromycin was administered for 8 months, in accordance with guidelines from the American Thoracic Society. The patient was clear of new lesions for approximately 1 month before noting a re-emergence. Treatment with linezolid and clarithromycin was re-initiated with subsequent improvement. This case underlines the need for prolonged treatment of this infection in patients with an immunocompromised status.
是一种分枝杆菌,在环境中普遍存在。它可存在于土壤、水中以及水生动物体内。这种病原体感染通常累及软组织、眼睛、骨骼和皮肤。我们报告了一例31岁患有系统性红斑狼疮的免疫功能低下女性,出现皮肤孢子丝菌样感染复发的病例。患者最初右脚肿胀,随后右小腿出现孢子丝菌样感染模式。确定了药敏谱,并根据美国胸科学会的指南,给予利奈唑胺和克拉霉素治疗8个月。患者在出现新病变前约1个月病情好转,之后又复发。再次开始使用利奈唑胺和克拉霉素治疗后病情改善。该病例强调了对免疫功能低下患者的这种感染需要进行长期治疗。