中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (1): 37-38.doi: 10.12144/zgmfskin202201037

• 临床研究 • 上一篇    下一篇

美容注射术后皮肤脓肿分枝杆菌感染临床分析

余敏1,2,廖桂秀1,纪明开3   

  1. 1福建医科大学附属第一医院皮肤科，福建福州，350005；
    2南平市疾病预防控制中心皮肤科，福建南平，353000；
    3厦门医学院附属第二医院，福建厦门，361021
  • 出版日期:2022-01-15 发布日期:2021-11-01
  • 通讯作者: 纪明开，E-mail: mingkai_ji@163.com

Clinical analysis of Mycobacterium abscessus infection after cosmetic injection

YU Min1,2, LIAO Guixiu1, JI Mingkai3   

  1. 1 Department of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;
    2 Department of Dermatology, Nanping Center for Disease Control and Prevention, Nanping 353000, China;
    3 Department of Dermatology, The Second Affiliated Hospital of Xiamen Medical College, Xiamen 361021, China
  • Online:2022-01-15 Published:2021-11-01
  • Contact: JI Mingkai, E-mail: mingkai_ji@163.com

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摘要： 对2018年12月至2019年12月我院确诊的7例皮肤脓肿分枝杆菌感染患者的临床资料进行回顾性分析。本文患者均在非正规医院行美容注射术，术后注射部位都发生脓肿分枝杆菌感染。7例患者均为多发皮损，且为美容注射后发病，表现为红斑、结节、脓肿、溃疡。病理呈感染性肉芽肿改变。6例皮损组织脓液培养结果为脓肿分枝杆菌，1例行组织PCR扩增提示脓肿分枝杆菌感染。诊断为皮肤脓肿分枝杆菌感染。给予克拉霉素、利福平、左氧氟沙星治疗，皮损均消退，随访半年无复发。

关键词: 美容, 注射, 脓肿分枝杆菌, 感染

Abstract: The data of 7 patients with Mycobacterium abscessus infection from December 2018 to December 2019 were analyzed retrospectively. All patients underwent cosmetic injections in informal hospitals, and the postoperative injection site was infected with Mycobacterium abscessus.  All of the seven patients with mutiple lesions presented with erythema, nodule, abscess and ulceration after cosmetic injection. The biopsy of lesions showed infectious granulomas. The Mycobacterium abscessus was found in the pus of 6 patients and was indentified in skin lesionin one patient through PCR amplification. The diagnosis of Mycobacterium abscess infection was made and the lesions were subside after treated with clarithromycin, rifampicin, levofloxacin, and no recurrence after half a year follow-up.

Key words: cosmetology, injection, Mycobacterium abscessus, infection