坏死性筋膜炎——粟粒型结核分枝杆菌感染的一种罕见表现。
Necrotizing fasciitis--an unusual presentation of miliary mycobacterium tuberculosis.
作者信息
Stebbings A E, Ti T Y, Tan W C
机构信息
Division of Respiratory Medicine, National Unversity Hospital, Singapore.
出版信息
Singapore Med J. 1997 Sep;38(9):384-5.
PMID:9407763
Abstract
We report an immunocompromised patient who presented with necrotizing fasciitis as the initial presentation of miliary tuberculosis. The diagnosis of miliary tuberculosis was delayed resulting in prolonged morbidity and hospital stay. The lesson from this report is that tuberculosis should be recognised as an uncommon cause of necrotizing fasciitis in an immunocompromised patient, especially if the response to prompt and standard initial treatment is unsatisfactory.
摘要
我们报告了一名免疫功能低下的患者，其以坏死性筋膜炎作为粟粒性肺结核的首发表现。粟粒性肺结核的诊断被延误，导致病程延长和住院时间增加。该报告的经验教训是，在免疫功能低下的患者中，应认识到结核病是坏死性筋膜炎的一种罕见病因，尤其是在对迅速且标准的初始治疗反应不佳时。
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