Thongtan Thanita, Nichols Jacob, Tarbox Michelle Babb
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Division of Infectious Disease, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2022 Apr 12;35(4):545-547. doi: 10.1080/08998280.2022.2058833. eCollection 2022.
A 42-year-old man presented with a sporotrichoid lymphocutaneous infection for 1 month. The histopathology of the lesions showed numerous intracellular mycobacteria within foamy histiocytes suggestive of nontuberculous mycobacteria and misled the empiric treatment. The final culture grew spp. and the lesions improved with antifungal treatment alone. This case report depicts a case of colonization in cutaneous sporotrichosis lesions on histopathology to raise awareness among physicians about this rare coincidence that could mislead the diagnosis.
一名42岁男性出现孢子丝菌病样皮肤淋巴管炎感染1个月。病变的组织病理学显示，泡沫状组织细胞内有大量细胞内分枝杆菌，提示非结核分枝杆菌，这误导了经验性治疗。最终培养出 菌，仅用抗真菌治疗后病变有所改善。本病例报告描述了一例组织病理学上皮肤孢子丝菌病病变中 菌定植的病例，以提高医生对这种可能误导诊断的罕见巧合的认识。
