Norimatsu Yuta, Ohno Yuki
Department of Dermatology, JR Tokyo General Hospital, 2-1-3 Yoyogi, Shibuya-ku, Tokyo 151-8528, Japan.
Department of Dermatology, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo Ku, Tokyo 113-8655, Japan.
IDCases. 2020 Jul 19;21:e00917. doi: 10.1016/j.idcr.2020.e00917. eCollection 2020.
Approximately 90% of skin infections are thought to be attributable to and , along with some anaerobic bacteria such as and species, which are considered significant causative agents in post-operative skin infections especially in diabetics. Species from the anaerobic genus are known to cause oral infections, but rarely cause infection of the skin. In this case report, we describe a subcutaneous abscess caused by in a 67-year-old man who had started chemotherapy for lung cancer (cT3N3M0 stage Ⅲ B) three days prior to consulting a dermatologist. On clinical examination, a fist-sized mass with a hot sensation was observed in the left temporal region of the face, and treatment with cefazolin was commenced at 6 g/day. After three days, the mass was drained via skin incision and pus culture was performed, which revealed infection with . The patient was successfully treated with abscess drainage and antibiotics therapy. We suggest that in tandem with immunosuppression, could be a cause of skin infections.
大约90%的皮肤感染被认为归因于金黄色葡萄球菌和化脓性链球菌,以及一些厌氧菌,如痤疮丙酸杆菌和消化链球菌属,它们被认为是术后皮肤感染尤其是糖尿病患者皮肤感染的重要病原体。厌氧丙酸杆菌属的菌种已知会引起口腔感染,但很少引起皮肤感染。在本病例报告中,我们描述了一名67岁男性因痤疮丙酸杆菌引起的皮下脓肿,该患者在咨询皮肤科医生前三天开始接受肺癌(cT3N3M0ⅢB期)化疗。临床检查时,在面部左侧颞区观察到一个拳头大小、有热感的肿块,并开始使用头孢唑林,剂量为6克/天。三天后,通过皮肤切口引流肿块并进行脓液培养,结果显示为痤疮丙酸杆菌感染。该患者通过脓肿引流和抗生素治疗成功治愈。我们认为,与免疫抑制相关,痤疮丙酸杆菌可能是皮肤感染的一个原因。