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一名医护人员的皮肤接种性结核病:病例报告及文献综述

Cutaneous inoculation tuberculosis in a healthcare worker: Case report and literature review.

作者信息

Soto-Febres F, Ballena-López J, Alva D, Riboty A, León R, Chang J, Pérez-Lazo G, Hidalgo J

机构信息

Infectious Diseases Unit, Guillermo Almenara Irigoyen National Hospital, EsSalud. Lima - Peru.

Head, Neck and Maxillofacial Surgery Service, Guillermo Almenara Irigoyen National Hospital, EsSalud. Lima - Peru.

出版信息

IDCases. 2020 May 7;20:e00788. doi: 10.1016/j.idcr.2020.e00788. eCollection 2020.

DOI:10.1016/j.idcr.2020.e00788
PMID:32426232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7225731/
Abstract

In all health care settings, particularly those in developing countries, healthcare workers have a high risk for exposure to tuberculosis. Tuberculosis can involve any organ, including the skin. Cutaneous tuberculosis is uncommon and may be secondary to an exogenous inoculation. We report the case of a surgical resident at a tertiary care hospital in Lima, Peru who developed cutaneous inoculation tuberculosis after sustaining a needlestick injury while performing a diagnostic cervical lymph node aspiration from a patient with HIV infection and tuberculous cervical lymphadenopathy.

摘要

在所有医疗环境中,尤其是在发展中国家的医疗环境中,医护人员面临着很高的结核病暴露风险。结核病可累及任何器官,包括皮肤。皮肤结核并不常见,可能继发于外源性接种。我们报告了秘鲁利马一家三级护理医院的一名外科住院医师的病例,该医师在为一名患有艾滋病毒感染和结核性颈淋巴结病的患者进行诊断性颈淋巴结穿刺抽吸时发生针刺伤后,患上了皮肤接种性结核病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea7/7225731/0f434b60d0dc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea7/7225731/0286186a24d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea7/7225731/0f434b60d0dc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea7/7225731/0286186a24d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ea7/7225731/0f434b60d0dc/gr2.jpg

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引用本文的文献

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Primary Multidrug-resistant Tuberculosis in a Surgeon Secondary to a Needlestick Injury: A Neglected Problem.一名外科医生因针刺伤继发原发性耐多药结核病:一个被忽视的问题。
Infect Drug Resist. 2022 Nov 14;15:6651-6657. doi: 10.2147/IDR.S387363. eCollection 2022.

本文引用的文献

1
Prevalence and risk factors of tuberculosis in developing countries through health care workers.发展中国家医护人员中结核病的流行情况和危险因素。
Microb Pathog. 2018 Nov;124:279-283. doi: 10.1016/j.micpath.2018.08.057. Epub 2018 Aug 27.
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Risk of Tuberculosis Infection and Disease for Health Care Workers: An Updated Meta-Analysis.医护人员感染结核病和患结核病的风险:一项更新的荟萃分析。
Open Forum Infect Dis. 2017 Aug 29;4(3):ofx137. doi: 10.1093/ofid/ofx137. eCollection 2017 Summer.
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