手部和腕部的分枝杆菌感染。

Mycobacterial Infections in the Hand and Wrist.

机构信息

The Philadelphia Hand to Shoulder Center, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite G114, Philadelphia, PA 19107, USA.

出版信息

Hand Clin. 2020 Aug;36(3):387-396. doi: 10.1016/j.hcl.2020.03.013.

DOI:10.1016/j.hcl.2020.03.013

PMID:32586466

Abstract

Mycobacterial hand infections are uncommon. These infections have an indolent course and are marked by variable and nonspecific presentations, often leading to diagnostic and treatment delays. The pathogens involved in mycobacterial hand infections include Mycobacterium tuberculosis complex, atypical mycobacteria, and M leprae. Initial treatment involves a combination of long-term antibiotics and surgical débridement to cure the infection. Reconstructive procedures aid in restoring hand function lost secondary to the disease.

摘要

手部的分枝杆菌感染较为少见。这些感染具有惰性病程，表现多变且无特异性，常导致诊断和治疗延迟。分枝杆菌手部感染的病原体包括结核分枝杆菌复合群、非典型分枝杆菌和麻风分枝杆菌。初始治疗包括长期抗生素治疗和手术清创，以治愈感染。重建手术有助于恢复因疾病而丧失的手部功能。