中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (2): 115-117.doi: 10.12144/zgmfskin202302115

• 病例报告 • 上一篇    下一篇

鱼刺伤肉芽肿二例

李玉锋   

  1. 无棣县中医院,滨州无棣,251900
  • 出版日期:2023-02-15 发布日期:2022-12-28

Fish stabbed granuloma: two cases report

LI Yufeng   

  1. Wudi County Hospital of Traditional Chinese Medicine, Wudi 251900, China
  • Online:2023-02-15 Published:2022-12-28

摘要: 报道2例鱼刺伤肉芽肿患者。2例患者均有鱼类接触史、组织病理示感染性肉芽肿、结核分枝杆菌γ-干扰素体外释放定量试验(TB-IGRA)阳性、结核感染T细胞γ干扰素升高、海分枝杆菌qPCR阳性。结合其病史、组织病理、TB-IGRA、海分枝杆菌qPCR等确诊为鱼刺伤肉芽肿。2例患者均予以克拉霉素缓释片、利福平胶囊治疗后痊愈。

关键词: 海分枝杆菌, 感染性肉芽肿, 鱼刺伤肉芽肿

Abstract: Two cases of Mycobacterium marinum infection were reported. The histopathology showed an infectious granuloma, Tuberculosis Interferon Gamma Release Assay(TB-IGRA) was positive, elevated TB infected T cell interferon, Mycobacterium marinum qPCR was also positive. Combined with their medical history, histopathology, TB-IGRA, and qPCR, the diagnosis of fish stabbed granuloma was made. Both patients recovered after treating with clarithromycin sustained-release tablets and rifampicin capsules.

Key words: Mycobacterium marinum, infectious granuloma, fish stabbed granuloma