中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (8): 598-600.doi: 10.12144/zgmfskin202308598

• 病例报告 • 上一篇    下一篇

巨大溃疡型海分枝杆菌感染一例

孙菲菲,杨宝琦,杜东红,刘永霞,暴芳芳,张朝霞   

  1. 山东第一医科大学附属皮肤病医院（山东省皮肤病医院），山东省皮肤病性病防治研究所，济南，250022
  • 出版日期:2023-08-15 发布日期:2023-07-19

Mycobacterium marinum infection manifested as enormous ulcer: a case report

SUN Feifei, YANG Baoqi, DU Donghong, LIU Yongxia, BAO Fangfang, ZHANG Zhaoxia   

  1. Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Veneorology, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2023-08-15 Published:2023-07-19

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摘要： 海分枝杆菌感染患者早期临床表现不典型，容易误诊漏诊。本文报道一例患者，病史2年，未及时诊疗，导致皮损逐渐加重，晚期呈现巨大深在性溃疡，累及韧带。给予多西环素联合克拉霉素治疗6个月后溃疡愈合。

关键词: 海分枝杆菌感染, 巨大溃疡

Abstract: The early clinical manifestations of patients with Mycobacterium marinum infection are not typical, which is easy to be misdiagnosed and missed diagnosed. This paper reports a case of a patient with a 2-year history, who did not receive timely diagnosis and treatment, resulting in gradual aggravation of skin lesions and a huge deep ulcer in the late stage with ligament involvement. The ulcer healed after 6 months of doxycycline combined with clarithromycin treatment.

Key words: Mycobacterium marinum infection, enormous ulcer