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韩国抽脂术后耐万古霉素金黄色葡萄球菌感染

Vancomycin-Resistant Staphylococcus Aureus Infection Post-Liposuction in South Korea.

作者信息

Nelwan Erni J, Andayani Dewi, Clarissa Gabriella, Pramada Trisoma

机构信息

Division of Tropic and Infectious Disease, Department of Internal Medicine, Universitas Indonesia, Jakarta, IDN.

Faculty of Medicine, Universitas Katolik Indonesia Atma Jaya, Jakarta, IDN.

出版信息

Cureus. 2021 Apr 7;13(4):e14357. doi: 10.7759/cureus.14357.

Abstract

As antibiotic resistance becomes a serious health issue, medical tourism is an accelerating factor. Several studies report antibiotic-resistant cases in Southeast Asia are increasing every year. We report the first case of a vancomycin-resistant (VRSA) infection in an Indonesian post-liposuction in South Korea. The patient is a 34-year-old Indonesian woman reporting concerns of fever and abdominal abscess post-liposuction. Culture results before antibiotic therapy were positive for VRSA. After the patient received one-time abscess drainage and initiated oral broad-spectrum antibiotics, the abscess clinically improved. To this date, the most common complication of infection post-liposuction in Indonesia is related to Mycobacterium as etiology. The pathogen transfer correlates to medical tourism, and this becomes a reminder for health care providers to be prepared to encounter problems tied to medical tourism.

摘要

随着抗生素耐药性成为一个严重的健康问题,医疗旅游是一个加速因素。几项研究报告称,东南亚的抗生素耐药病例每年都在增加。我们报告了首例在韩国进行抽脂手术的印度尼西亚患者发生耐万古霉素(VRSA)感染的病例。患者是一名34岁的印度尼西亚女性,她报告抽脂术后出现发热和腹部脓肿。抗生素治疗前的培养结果显示VRSA呈阳性。患者接受一次性脓肿引流并开始口服广谱抗生素后,脓肿在临床上有所改善。迄今为止,印度尼西亚抽脂术后最常见的感染并发症与分枝杆菌作为病因有关。病原体转移与医疗旅游相关,这提醒医疗保健提供者要做好应对与医疗旅游相关问题的准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffff/8110285/5424ce00b7c4/cureus-0013-00000014357-i01.jpg

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