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深部感染伴:一种常被误诊疾病的成功治疗。

Deep infection with : successful treatment of a frequently misdiagnosed disease.

作者信息

Pop Roxana, Estermann Lea, Schulthess Bettina, Eberhard Nadia

机构信息

UniversitätsSpital Zurich, Klinik für Infektionskrankheiten und Spitalhygiene, Universität Zurich Hauptbibliothek Medizin Careum, Zurich, Switzerland.

Fachbereich Handchirurgie, Schulthess Klinik, Zurich, Switzerland.

出版信息

BMJ Case Rep. 2019 Aug 28;12(8):e229663. doi: 10.1136/bcr-2019-229663.

DOI:10.1136/bcr-2019-229663
PMID:31466974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6721303/
Abstract

We report a rare yet typical presentation of a severe infection with that affected the deep structure of the hand and wrist of a 43-old fish breeder. A combination therapy of surgical debridement and antibiotic treatment with clarithromycin and ethambutol for 6 months led to a total resolution of the symptoms. Intensive rehabilitation completely restored the function of the hand.

摘要

我们报告了一例罕见但典型的严重感染病例,该感染影响了一名43岁养鱼户的手部和腕部深层结构。手术清创与克拉霉素和乙胺丁醇联合抗生素治疗6个月的综合疗法使症状完全缓解。强化康复完全恢复了手部功能。

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Mycobacterium marinum infections in Denmark from 2004 to 2017: A retrospective study of incidence, patient characteristics, treatment regimens and outcome.2004 年至 2017 年丹麦分枝杆菌感染:一项关于发病率、患者特征、治疗方案和结局的回顾性研究。
Sci Rep. 2018 Apr 30;8(1):6738. doi: 10.1038/s41598-018-24702-7.
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Susceptibility Testing of Tedizolid against Nontuberculous Mycobacteria.替加环素对非结核分枝杆菌的药敏试验
J Clin Microbiol. 2017 Jun;55(6):1747-1754. doi: 10.1128/JCM.00274-17. Epub 2017 Mar 22.
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Nontuberculous Mycobacteria: Skin and Soft Tissue Infections.非结核分枝杆菌:皮肤及软组织感染
Dermatol Clin. 2015 Jul;33(3):563-77. doi: 10.1016/j.det.2015.03.017. Epub 2015 May 8.
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Non-tuberculous mycobacterial infections of the hand.手部非结核分枝杆菌感染
Chir Main. 2015 Feb;34(1):18-23. doi: 10.1016/j.main.2014.12.004. Epub 2014 Dec 30.
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Inventory study of non-tuberculous mycobacteria in the European Union.欧盟中非结核分枝杆菌的库存研究。
BMC Infect Dis. 2014 Feb 6;14:62. doi: 10.1186/1471-2334-14-62.
6
Invasive Mycobacterium marinum infection of the hand.手部侵袭性海分枝杆菌感染
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Mycobacterium marinum infection of the deep structures of the hand and wrist: 25 years of experience.手部和腕部深层结构的海分枝杆菌感染:25年经验总结
Hand Surg. 2010;15(3):211-6. doi: 10.1142/S0218810410004874.
8
In vitro drug susceptibility of 2275 clinical non-tuberculous Mycobacterium isolates of 49 species in The Netherlands.荷兰 49 种 2275 株临床非结核分枝杆菌分离株的体外药物敏感性。
Int J Antimicrob Agents. 2010 Feb;35(2):169-73. doi: 10.1016/j.ijantimicag.2009.09.023. Epub 2009 Dec 16.
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10
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