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皮肤炭疽的深入探讨:一例报告的临床与病理表现

In-depth exploration of cutaneous anthrax: clinical and pathological manifestations of a case report.

作者信息

Du Yongjun, Ma Jizhou, Liu Guozhen, Chai Zhi, Han Hang, Chen Tairen, Yang Lan, Jing Li, Xu Fangjing, Fan Yucheng

机构信息

Department of Pathology, The First People's Hospital of Shizuishan, Affiliated to Ningxia Medical University, Shizuishan, China.

Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.

出版信息

Diagn Pathol. 2024 Dec 18;19(1):158. doi: 10.1186/s13000-024-01587-x.

DOI:10.1186/s13000-024-01587-x
PMID:39695749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654154/
Abstract

Anthrax is an acute infectious disease caused by Bacillus anthracis, which can infect various animals and humans. Cutaneous anthrax primarily presents as infiltrative, edematous erythema, surface vesicles, hemorrhagic vesicles, and necrotic eschar; some patients may also experience systemic symptoms such as fever and leukocytosis. With economic development and improvements in public health conditions, naturally occurring cases of cutaneous anthrax have significantly decreased, leading to limited reports on the pathological manifestations of this disease. This article reports a case of a patient with cutaneous anthrax diagnosed and treated in our hospital, aiming to explore the laboratory examinations, imaging, pathological features, and clinical treatment methods of the disease. The goal is to enhance understanding of anthrax and increase vigilance in clinical practice to avoid misdiagnosis and missed diagnosis. The described diagnostic and therapeutic processes are accurate and reliable, with no modifications or exaggerations. It is important to note that the patient's treatment may have been influenced by local social, economic, health, and epidemiological conditions, which introduces certain limitations. We hope that our colleagues will approach this study with an objective mindset for learning and reference.

摘要

炭疽是由炭疽芽孢杆菌引起的一种急性传染病,可感染多种动物和人类。皮肤炭疽主要表现为浸润性、水肿性红斑、表面水疱、出血性水疱及坏死性焦痂;部分患者还可能出现发热、白细胞增多等全身症状。随着经济发展和公共卫生条件改善,自然发生的皮肤炭疽病例显著减少,导致关于该病病理表现的报道有限。本文报告我院诊治的1例皮肤炭疽患者,旨在探讨该病的实验室检查、影像学、病理特征及临床治疗方法。目的是增强对炭疽的认识,提高临床实践中的警惕性,避免误诊和漏诊。所描述的诊断和治疗过程准确可靠,无修改或夸大。需要注意的是,患者的治疗可能受到当地社会、经济、卫生和流行病学状况的影响,这存在一定局限性。希望同仁以客观的心态对待本研究以供学习和参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c2/11654154/1474e43316d7/13000_2024_1587_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c2/11654154/91cbc43a772a/13000_2024_1587_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c2/11654154/1474e43316d7/13000_2024_1587_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c2/11654154/91cbc43a772a/13000_2024_1587_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c2/11654154/1474e43316d7/13000_2024_1587_Fig2_HTML.jpg

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In-depth exploration of cutaneous anthrax: clinical and pathological manifestations of a case report.皮肤炭疽的深入探讨:一例报告的临床与病理表现
Diagn Pathol. 2024 Dec 18;19(1):158. doi: 10.1186/s13000-024-01587-x.
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