中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (2): 114-116.doi: 10.12144/zgmfskin202602114

• 病例报告 • 上一篇    下一篇

溶脂针注射致非结核分枝杆菌感染一例

李瑾1,刘子昂2,杨康1,张媛1,3   

  1. 1山东烟台芝罘医院皮肤科，山东烟台，264000； 2同济大学医学院，同济大学附属皮肤病医院，上海，200443； 3中国人民解放军联勤保障部队解放军第九七〇医院皮肤科，山东烟台，264000
  • 出版日期:2026-02-15 发布日期:2026-01-28

Nontuberculous mycobacteria infection caused by lipolytic injections: a case report

LI Jin1, LIU Zi'ang2, YANG Kang1, ZHANG Yuan1,3   

  1. 1 Shandong Zhifu Hospital, Yantai 264000, China; 2 Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, China; 3 The 970th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Yantai 264000, China
  • Online:2026-02-15 Published:2026-01-28

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摘要： 非结核分枝杆菌引起的皮肤和软组织感染多与注射、抽脂、整形手术等有关。本例患者全身多处皮下注射溶脂针后出现皮肤红肿、破溃、流脓，培养标本抗酸染色见抗酸染色阳性杆菌，DNA微阵列芯片检测为龟/脓肿分枝杆菌。口服克拉霉素及肌肉注射阿米卡星，半年后疼痛缓解，原有斑块颜色变暗，创面基本愈合。

关键词: 非结核分枝杆菌, 溶脂针, 龟分枝杆菌, 脓肿分枝杆菌

Abstract: Cutaneous and soft tissue infections caused by nontuberculous mycobacteria (NTM) are mostly associated with injections, liposuction, plastic surgery, and other procedures. In this case, the patient developed skin erythema, swelling, ulceration, and purulent discharge after multiple subcutaneous lipolytic injections across the body. Acid-fast staining of the culture specimen revealed acid-fast bacilli, and DNA microarray detection confirmed Mycobacterium chelonae/abscessus. The patient was treated with oral clarithromycin and intramuscular amikacin. After six months, the pain was relieved, the color of the original plaques faded, and the lesions were basically healed.

Key words: nontuberculous mycobacteri, lipolytic injection, Mycobacterium chelonae, Mycobacterium abscessus