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手腕部脓肿分枝杆菌复合群骨髓炎

Mycobacterium abscessus Complex Osteomyelitis of the Wrist.

作者信息

Alter Noah, Trenschel Robert W, Schwartz Gary, Sharan Joshua, Boyle Ryan P, Shoja Mohammadali M

机构信息

Department of Medical Education, Dr. Kiran C. Patel College of Allopathic Medicine (NSU MD) Nova Southeastern University (NSU), Fort Lauderdale, USA.

Department of Medical Education, Dr. Kiran C. Patel College of Osteopathic Medicine (NSU-KPCOM) Nova Southeastern University (NSU), Fort Lauderdale, USA.

出版信息

Cureus. 2022 Dec 16;14(12):e32593. doi: 10.7759/cureus.32593. eCollection 2022 Dec.

Abstract

() is a ubiquitous, rapidly growing non-tuberculous mycobacterium, which is known to cause life-threatening lung infections in immunocompromised individuals following exposure to contaminated injectable products. We report a case of  osteomyelitis of the right wrist in a 28-year-old patient with a history of intravenous drug use and a recent surgical repair of the right radial artery pseudoaneurysm. The patient underwent surgical debridement of the right distal radius infection. Histopathological examination and culture of the debrided tissue revealed complex infection. The patient was placed on intravenous amikacin, azithromycin, and cefoxitin for six weeks, followed by oral linezolid and clofazimine for six months.

摘要

()是一种普遍存在、迅速生长的非结核分枝杆菌,已知在免疫功能低下的个体接触受污染的注射产品后会引发危及生命的肺部感染。我们报告一例28岁有静脉吸毒史且近期接受右桡动脉假性动脉瘤手术修复的患者发生右腕骨髓炎的病例。该患者接受了右桡骨远端感染的手术清创。清创组织的组织病理学检查和培养显示为混合感染。患者接受静脉注射阿米卡星、阿奇霉素和头孢西丁治疗六周,随后口服利奈唑胺和氯法齐明治疗六个月。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5e/9840847/229706702a3f/cureus-0014-00000032593-i01.jpg

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