中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (5): 323-325.doi: 10.12144/zgmfskin202505323

• 新发与再发感染性皮肤病 • 上一篇    下一篇

皮肤炭疽一例

韩淑馨1,2*,臧箫1,2*,时晓萱1,2,李紫阁1,2,杨青1,2,槐鹏程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 *共同第一作者
  • 出版日期:2025-05-15 发布日期:2025-05-14

Cutaneous anthrax: a case report

HAN Shuxin1,2*, ZANG Xiao1,2*, SHI Xiaoxuan1,2, LI Zige1,2, YANG Qing1,2, HUAI Pengcheng1,2, LIU Hong1,2, ZHANG Furen1,2   

  1. 1 Dermatology Hospital of Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China *Co-first author
  • Online:2025-05-15 Published:2025-05-14

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摘要： 患者，男，52岁。左上肢皮疹伴发烧6天。2周前曾屠宰牛。皮肤科查体：左上肢弥漫性水肿，红斑上见溃疡面、黑色结痂，表面少量渗液，边缘见小水疱。皮疹疱液：炭疽芽孢杆菌qPCR（+）。诊断为皮肤炭疽。给予左氧氟沙星、甲泼尼龙静滴。根据疾控中心建议，患者转院治疗，给予环丙沙星、克林霉素联合抗感染治疗，病情好转。

关键词: 皮肤炭疽, 炭疽芽孢杆菌, 流行病学特征

Abstract: A 52-year-old male presented with rashes on the left upper limb accompanied by fever for six days. He had slaughtered cattle two weeks prior to the onset of symptom. Physical examination revealed diffuse edema of the left upper limb, an ulcerated surface, black eschar on erythematous areas, minimal fluid accumulation on the surface, and small vesicles at the periphery. Analysis of rash blister indicated positive qPCR result for Bacillus anthracis. The diagnosis of cutaneous anthrax was made. The patient was treated with intravenous infusion of levofloxacin and methylprednisolone. According to the advice of the Center for Disease Control and Prevention, the patient was transferred to another hospital for treatment and given ciprofloxacin and clindamycin combined anti-infective treatment, and the condition improved.

Key words: cutaneous anthrax, Bacillus anthracis, epidemiological characteristics