一个罕见的局部感染皮肤Corynebacterium diphtheriae的罕见病例
Marc Trubin1, Sarah E Eichinger2, Annette Abraham3
1Internal Medicine, Rush University Medical Center, Chicago, USA.
Cureus
|July 26, 2023
概括
这一案例突出显示了Corynebacterium diphtheriae引起的皮肤白喉病 (皮肤感染) 在未接种疫苗的成年人中异常呈现. 它强调了在免疫功能低下或脆弱人群中考虑罕见感染的重要性.
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:
- 由于疫苗接种广泛,皮肤白喉在美国很少见.
- 静脉注射药物使用和住房不稳定是各种感染的危险因素.
研究的目的:
- 报告一个非典型的皮肤白喉病例在一个成年人.
- 为了强调认识到这种罕见疾病的重要性.
主要方法:
- 一个32岁的男性患有慢性前臂"感染"的临床表现.
- 微生物培养显示了多微生物生长,包括Corynebacterium diphtheriae.
- 鉴定该分离物为C. diphtheriae var. 的鉴定. 这是美国疾病预防控制中心 (CDC) 发布的.
主要成果:
- 这名患者在过去三年的病史中出现了恶化的性,疼痛和变形的前臂病变.
- 表面培养显示出Corynebacterium diphtheriae的大量生长.
- 美国疾病控制和预防中心 (CDC) 证实该分离物是C. diphtheriae var. 这里是MITIS.
结论:
- 这种病例代表了皮肤白喉病的异常表现.
- 这些发现表明,接种疫苗状态和宿主因素在易受白喉病的敏感性中起着至关重要的作用.
- 临床医生应考虑罕见的传染病因,如皮质耳,在患有非特征性皮肤病变的患者.
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