泪囊非结核分枝杆菌脓肿及眼睑清创术：病例报告
Nontuberculous mycobacterial abscess of lacrimal sac and eyelid debridement: Case report.
作者信息
Matsuo Toshihiko, Tanaka Takehiro, Yamada Kiyoshi, Nose Motoko, Tanimoto Yasushi
机构信息
Graduate School of Interdisciplinary Science and Engineering in Health Systems Okayama University Okayama Japan.
Department of Ophthalmology Okayama University Hospital Okayama Japan.
出版信息
Clin Case Rep. 2023 Dec 21;11(12):e8364. doi: 10.1002/ccr3.8364. eCollection 2023 Dec.
KEY CLINICAL MESSAGE
It is important to stain acid-fact bacilli on the smear of abscess puncture in addition to Gram stain to detect nontuberculous and tuberculous mycobacteria in the early phase since both can cause rare and challenging extrapulmonary manifestations.
ABSTRACT
A 56-year-old otherwise healthy woman developed abscess from dacryocystitis in the right lower eyelid. The smear of puncture fluid showed acid-fast bacilli and was identified after a month. The early start of clarithromycin/ethambutol was switched to clarithromycin/levofloxacin. Debridement specimen after 7-month treatment showed granulomatous tissue with no bacilli.
关键临床信息
除革兰氏染色外，对脓肿穿刺涂片进行抗酸杆菌染色很重要，以便在早期检测非结核分枝杆菌和结核分枝杆菌，因为两者均可引起罕见且具有挑战性的肺外表现。
摘要
一名56岁身体健康的女性右下眼睑泪囊炎引发脓肿。穿刺液涂片显示抗酸杆菌，一个月后得以确诊。最初使用的克拉霉素/乙胺丁醇改为克拉霉素/左氧氟沙星。7个月治疗后的清创标本显示为肉芽肿组织，未见杆菌。
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