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冷血蹑行者:免疫功能低下患者的难愈性蜂窝织炎

A Cold-Blooded Tiptoer: Nonresolving Cellulitis in an Immunocompromised Patient.

作者信息

Kitaura Satoshi, Okamoto Koh, Wakabayashi Yoshitaka, Okada Yuta, Okazaki Aiko, Ikeda Mahoko, Okugawa Shu, Fujimoto Fumie, Bujo Chie, Minatsuki Shun, Tsushima Kensuke, Chikamatsu Kinuyo, Mitarai Satoshi, Moriya Kyoji

机构信息

Department of Infectious Diseases, The University of Tokyo Hospital, Tokyo, Japan.

Department of Infection Control and Prevention, The University of Tokyo Hospital, Tokyo, Japan.

出版信息

Open Forum Infect Dis. 2022 Feb 11;9(4):ofac074. doi: 10.1093/ofid/ofac074. eCollection 2022 Apr.

Abstract

is a nontuberculous mycobacteria (NTM) with a predilection for skin and soft tissue infection (SSTI) in the immunocompromised host. We report a case of disseminated infection initially presenting as a nonresolving subacute cellulitis of bilateral lower extremities. Genetic sequencing was used for final identification, while a commercially available polymerase chain reaction test returned a false-positive result for . Consequently, we highlight the importance of as a major differential diagnosis of SSTI in the immunocompromised host and the need for careful interpretation of rapid diagnostic tests.

摘要

是一种非结核分枝杆菌(NTM),在免疫功能低下的宿主中易引发皮肤和软组织感染(SSTI)。我们报告了一例播散性感染病例,最初表现为双侧下肢持续性亚急性蜂窝织炎。基因测序用于最终鉴定,而一项商用聚合酶链反应检测对……返回了假阳性结果。因此,我们强调了……作为免疫功能低下宿主中SSTI主要鉴别诊断的重要性,以及仔细解读快速诊断检测结果的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40da/8926000/9203390a18b2/ofac074_fig1.jpg

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