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匐行性冷结节：免疫功能低下患者下肢结节上行

Creeping Cold Nodules: Ascending Lower Extremity Nodules in an Immunocompromised Patient.

作者信息

Hewlett William H, Garber Adam M

机构信息

Internal Medicine, University of Pennsylvania, Philadelphia, USA.

Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, USA.

出版信息

Cureus. 2024 Sep 19;16(9):e69721. doi: 10.7759/cureus.69721. eCollection 2024 Sep.

DOI:10.7759/cureus.69721
PMID:39429307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11490282/
Abstract

Non-tuberculous mycobacterium (NTM) infection can cause a broad range of pathology, especially in an immunocompromised patient. We report a case of ascending lower extremity nodules in a renal transplant patient that were found to be caused by , an NTM. We discuss the clinical evaluation and workup of this patient and why NTM infections may require a high degree of clinical suspicion to properly diagnose and treat.

摘要

非结核分枝杆菌（NTM）感染可导致广泛的病理变化，尤其是在免疫功能低下的患者中。我们报告一例肾移植患者下肢出现结节并逐渐增多的病例，发现是由一种NTM引起的。我们讨论了该患者的临床评估和检查过程，以及为什么NTM感染可能需要高度的临床怀疑才能正确诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fefd/11490282/11bb148b527a/cureus-0016-00000069721-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fefd/11490282/da95fed31f74/cureus-0016-00000069721-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fefd/11490282/11bb148b527a/cureus-0016-00000069721-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fefd/11490282/da95fed31f74/cureus-0016-00000069721-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fefd/11490282/11bb148b527a/cureus-0016-00000069721-i02.jpg

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本文引用的文献

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Epidemiology of Pulmonary and Extrapulmonary Nontuberculous Mycobacteria Infections at 4 US Emerging Infections Program Sites: A 6-Month Pilot.4 个美国新兴传染病监测点肺部和肺外非结核分枝杆菌感染的流行病学：一项为期 6 个月的试点研究。
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Dactylitis from infection.感染所致的指（趾）炎。
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Approach to the diagnosis and treatment of non-tuberculous mycobacterial disease.非结核分枝杆菌病的诊断与治疗方法
J Clin Tuberc Other Mycobact Dis. 2021 May 8;24:100244. doi: 10.1016/j.jctube.2021.100244. eCollection 2021 Aug.
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Extrapulmonary Nontuberculous Mycobacteria Infections in Hospitalized Patients, United States, 2009-2014.2009-2014 年美国住院患者的肺外非结核分枝杆菌感染。
Emerg Infect Dis. 2021 Mar;27(3):845-852. doi: 10.3201/eid2703.201087.
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Skin and Soft Tissue Infections Caused by Mycobacterium chelonae: More Common Than Expected?分支杆菌属导致的皮肤和软组织感染：比预想的更常见？
Acta Derm Venereol. 2019 Sep 1;99(10):889-893. doi: 10.2340/00015555-3230.
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Mycobacterium Chelonae Infection of the Buttocks Secondary to Lipofilling: A Case Report and Review of the Literature.脂肪填充后继发臀部龟分枝杆菌感染：1例报告并文献复习
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