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。