Song X L, Xu J G, Wei Y L, Chen Q M
Department of Infectious Diseases, Linyi People's Hospital, Linyi 276000, China.
Department of Emergency Medicine, Linyi People's Hospital, Linyi 276000, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2024 Sep 12;47(9):851-853. doi: 10.3760/cma.j.cn112147-20240612-00330.
infection often affects the extremities, causing single or multiple skin lesions. With the improvement of molecular detection technology and the clinical application of NGS pathogen detection, the diagnosis rate of skin disease is gradually increasing. This article reported the case of a 54-year-old man who was stung by a marine fish and gradually developed swelling and nodules on his right hand and right upper limb. He was diagnosed with infection by detection of the tuberculosis resistance gene dissolution curve of the pus and the identification of the bacteria. Oral rifampicin combined with clarithromycin and minocycline was given for anti-infection treatment. During follow-up, the abscesses and nodules gradually shrank and eventually disappeared. By presenting the diagnosis and treatment of this case, the understanding of this disease among clinicians can be improved to avoid misdiagnosis and missed diagnosis.
感染常累及四肢，导致单个或多个皮肤病变。随着分子检测技术的进步以及二代测序病原体检测在临床中的应用，皮肤病的诊断率逐渐提高。本文报道了一例54岁男性，被海鱼蜇伤后右手及右上臂逐渐出现肿胀和结节。通过对脓液进行结核耐药基因溶解曲线检测及细菌鉴定，诊断为感染。给予口服利福平联合克拉霉素及米诺环素进行抗感染治疗。随访期间，脓肿和结节逐渐缩小并最终消失。通过介绍该病例的诊治过程，可提高临床医生对本病的认识，避免误诊和漏诊。
