中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (3): 193-195.doi: 10.12144/zgmfskin202403193

• 病例报告 • 上一篇    下一篇

反复误诊的偶发分枝杆菌感染一例

王娜1,2,暴芳芳1,2,施仲香1,2,刘红1,2,张福仁1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022；2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2024-03-15 发布日期:2024-02-28

Recurrent misdiagnosis of Mycobacterium fortuitum infection: a case report

WANG Na1,2, BAO Fangfang1,2, SHI Zhongxiang1,2, LIU Hong1,2, ZHANG Furen1,2   

  1. 1 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2024-03-15 Published:2024-02-28

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摘要： 医源性偶发分枝杆菌感染多与手术伤口、器官移植、透析和注射等有关。本文报道注射后发生的偶发分枝杆菌感染一例，曾多次被误诊为“软组织感染、坏疽性脓皮病”等，最终通过病理、培养和PCR测序确诊，并对分离菌株体外药敏试验。患者经亚胺培南西司他丁钠、阿米卡星、环丙沙星等药物治疗后痊愈，随访5年，患儿无不良反应发生。

关键词: 偶发分枝杆菌, 皮肤感染, 非典型分枝杆菌

Abstract: Iatrogenic Mycobacterium fortuitum infection is mostly related to surgical wounds, organ transplantation, dialysis, and injection. We report a case of Mycobacterium fortuitum infection after injection, which was misdiagnosed as soft tissue infections and pyoderma gangrenosum. The disease was confirmed by pathology, culture, and PCR sequencing, and the isolated strain was tested for susceptibility in vitro. The patient recovered after being treated with imipenem cilastatin sodium, amikacin, ciprofloxacin and other drugs, and after 5 years followed-up, no adverse reactions occurred.

Key words: Mycobacterium fortuitum, skin infections, NTM