中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (6): 441-443.doi: 10.12144/zgmfskin202306441

• 病例报告 • 上一篇    下一篇

虾刺伤致腱鞘炎一例

陈晓萱1，2,暴芳芳2,李建可2,陈声利2,刘红2,张福仁1，2   

  1. 1山东大学，山东济南，250012；

    2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，山东济南，250022

  • 出版日期:2023-06-15 发布日期:2023-05-18

Tenosynovitis caused by shrimp sting: a case report

CHEN Xiaoxuan1,2, BAO Fangfang2, LI Jianke2, CHEN Shengli2, LIU Hong2, ZHANG Furen1,2   

  1. 1 Shandong University, Jinan 250012, China;
    2 Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Venereology, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2023-06-15 Published:2023-05-18

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摘要： 患者，女，59岁。右手拇指结节2个月余。发病前右手拇指指腹被虾刺伤，组织病理符合感染性肉芽肿改变，海分枝杆菌qPCR（组织）阳性，超声符合右手指屈肌肌腱腱鞘炎。诊断为海分枝杆菌感染导致的腱鞘炎。给予克林霉素、盐酸米诺环素治疗后病情好转。

关键词: 海分枝杆菌, 腱鞘炎, 深部感染

Abstract: A 59-year-old female presented with right thumb nodule for more than 2 months. Before the onset, her right thumb was stabbed by shrimp. Histopathology examination revealed infectious granuloma. Mycobacterium qPCR (tissue) was positive, and ultrasound was consistent with flexor tendon tenosynovitis of the right finger. The diagnosis of tenosynovitis caused by infection with Mycobacterium marinum was made. Her condition improved obviously after treated with compound clindamycin and minocycline hydrochloride.

Key words: Mycobacterium marinum, tenosynovitis, deep infection