免疫功能正常宿主中因留置导管继发的播散性皮肤感染。
Disseminated cutaneous infection secondary to an indwelling catheter in an immunocompetent host.
作者信息
Riopel Nicholas D, Wood Kimberly, Stokes William
机构信息
Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Department of Laboratory Medicine and Pathology, University of Alberta, Alberta, Canada.
出版信息
J Clin Tuberc Other Mycobact Dis. 2023 Apr 17;32:100373. doi: 10.1016/j.jctube.2023.100373. eCollection 2023 Aug.
BACKGROUND
is a species of nontuberculous mycobacteria that typically causes localized cutaneous disease in immunocompetent hosts. There have been few reports of disseminated infections in immunocompetent individuals which have often been associated with invasive medical procedures.
CASE PRESENTATION
In this report, we describe a 43-year-old immunocompetent female with an implanted venous access device who presented with skin lesions increasing in size and frequency over the course of five months despite antimicrobial therapy. A diagnosis was not made until mycobacterial culture from a skin biopsy grew .
CONCLUSION
Disseminated cutaneous infection can be a rare complication of indwelling venous catheterization among immunocompetent patients.
背景
是一种非结核分枝杆菌，通常在免疫功能正常的宿主中引起局部皮肤疾病。关于免疫功能正常个体发生播散性感染的报道很少，这些感染通常与侵入性医疗操作有关。
病例报告
在本报告中，我们描述了一名43岁免疫功能正常的女性，她植入了静脉通路装置，尽管接受了抗菌治疗，但在五个月的时间里皮肤病变的大小和频率仍不断增加。直到皮肤活检的分枝杆菌培养生长出 ，才做出诊断。
结论
播散性皮肤感染可能是免疫功能正常患者留置静脉导管罕见的并发症。
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