在墨西哥Spelunking后的下肢结节
Pranvera Sulejmani1, Luke Wallis2, Anas Alabkaa3
1Dermatology, Rush University Medical Center, Chicago, USA.
Cureus
|July 5, 2023
概括
一个Mycobacterium marinum感染,一种非结核性菌根菌,在轻微伤害后引起了持续的皮肤病变. 诊断需要专门的酸速细菌培养.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 微生物学 微生物学
背景情况:
- 马林菌 (Mycobacterium marinum) 是一种非结核菌.
- 它引起结节性颗粒状皮肤病.
- 感染发生在受损皮肤暴露在受污染的水生环境中.
研究的目的:
- 报告一个Mycobacterium marinum感染病例,呈现为一个不愈合的脚伤口.
- 为了突出诊断挑战,并确认致病原体.
主要方法:
- 一个26岁的男性的临床表现,在洞穴挖掘后,他的脚上有三个月的不愈合的伤口.
- 身体检查显示有卫星病变的硬化斑块.
- 活检显示了炎症和颗粒组织,没有颗粒瘤.
- 在巧克力上培养的酸性细菌培养证实了Mycobacterium marinum.
主要成果:
- 患者在他的右脚上出现了一个不愈合的病变.
- 最初的怀疑是由于病变的外观而引起的真菌感染.
- 组织病理学揭示了炎症,但缺乏颗粒瘤.
- 微生物培养最终确定了Mycobacterium marinum. 的存在.
结论:
- Mycobacterium marinum感染可以模仿其他皮肤疾病,包括真菌感染.
- 迅速和准确的微生物诊断对于有效的治疗至关重要.
- 这一案例强调了在有相关暴露史的患者中考虑非典型的真菌细菌感染的重要性.
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