Azadian B S, Beck A, Curtis J R, Cherrington L E, Gower P E, Phillips M, Eastwood J B, Nicholls J
Tubercle. 1981 Dec;62(4):281-4. doi: 10.1016/s0041-3879(81)80009-8.
M. chelonei ssp. chelonei was isolated over a period of 5 months from abscesses on various sites of hands and feet of a patient on maintenance dialysis. The organism was resistant in vitro to a greater number of antimicrobials and treatment in turn with gentamicin, vancomycin, erythromycin, doxycycline and co-trimoxazole had to be supplemented by surgical drainage of abscesses. Examination of the dialysis circuit revealed repeatedly the presence of M. chelonei and M. fortuitum in the water softener resin and other sites. The significance of this finding is discussed.
在5个月的时间里，从一名维持性透析患者手脚不同部位的脓肿中分离出龟分枝杆菌龟亚种。该菌在体外对更多种类的抗菌药物耐药，依次使用庆大霉素、万古霉素、红霉素、强力霉素和复方新诺明治疗时，必须辅以脓肿的外科引流。对透析回路的检查反复显示，软水器树脂和其他部位存在龟分枝杆菌和偶然分枝杆菌。本文讨论了这一发现的意义。
