中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (6): 433-435.doi: 10.12144/zgmfskin202406433

• 病例报告 • 上一篇    下一篇

以反复破溃化脓和疤痕为表现的铜绿假单胞菌皮肤感染一例

周书文,罗志强,史建强,周海园,吴玮   

  1. 广东医科大学附属医院皮肤科，广东湛江，524000
  • 出版日期:2024-06-15 发布日期:2024-05-08

Cutaneous infections of Pseudomonas aeruginosa manifested as repeated rupturing, suppuration and scar: a case report

ZHOU Shuwen, LUO Zhiqiang, SHI Jianqiang, ZHOU Haiyuan, WU Wei   

  1. Department of Dermatology, Affiliated Hospital of Guangdong Medical Univeraity, Zhanjiang 524000, Guangdong
  • Online:2024-06-15 Published:2024-05-08

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摘要： 患者，女，28岁。左小腿反复破溃化脓和疤痕6个月余。皮肤科检查：左小腿外侧可见一约5 cm×6 cm红色斑块，部分呈凹陷性疤痕，部分隆起，质地偏软，可挤出少许黄色分泌物。新鲜组织mNGS检测提示铜绿假单胞菌，口服头孢克肟胶囊0.2 g，每日2次，治疗2周后，原有皮疹大部分变平，未见脓性分泌物渗出，2个月随访未见复发。

关键词: 皮肤溃疡, 化脓, 疤痕, 铜绿假单胞菌, 病原微生物宏基因组检测

Abstract: A 28-year-old female presented with repeated ulceration, suppuration and scar on the left calf for more than 6 months. Physical examination showed erythema 5 cm×6 cm in size on the  the left calf, some were concave scars, some were raised lesions, soft and purulent secretion could be squeezed out. Pseudomonas aeruginosa was indenfied by mNGS. Cefixime capsule, 0.2g, twice daily was given. The lesions subsided and purulent secretion disappeared after treated for 2 weeks. No recurrence was observed after 2 months follow-up.

Key words: skin ulcer, suppuration, scar, Pseudomonas aeruginosa, metagenomic next-generation sequencing