Gonçalves Inês C, Furtado Isabel, Gonçalves Maria João, Xará Sandra
Infectious Disease, Centro Hospitalar e Universitário do Porto, Porto, PRT.
Infectious Disease, Hospital Pedro Hispano, Matosinhos, PRT.
Cureus. 2022 Nov 22;14(11):e31787. doi: 10.7759/cureus.31787. eCollection 2022 Nov.
is a non-tuberculous mycobacteria present in natural and non-chlorinated bodies of water. It is a known fish pathogen but can also cause human disease. It usually causes cutaneous lesions but in rare cases may originate more invasive diseases with the involvement of deep structures. We describe three cases of patients with cutaneous infection by evaluated in a tertiary care center, two with confirmed infection and one with a presumptive diagnosis based on clinical and epidemiological features. A brief bibliographic review of infections is then presented to support the theme. We aim to alert one to the difficulties in establishing the correct diagnosis of this infection, emphasize the importance of a high degree of suspicion for its identification, and review the therapeutic management options.
是一种存在于天然和未氯化水体中的非结核分枝杆菌。它是一种已知的鱼类病原体,但也可导致人类疾病。它通常引起皮肤病变,但在罕见情况下可能引发更具侵袭性的疾病并累及深部结构。我们描述了在一家三级医疗中心评估的三例皮肤感染患者,其中两例确诊感染,一例根据临床和流行病学特征进行了推定诊断。随后对感染进行了简要的文献综述以支持该主题。我们旨在提醒人们注意建立这种感染正确诊断的困难,强调高度怀疑对其识别的重要性,并回顾治疗管理选择。