爬行着的冷结节:在免疫受损患者的下肢结节上升
William H Hewlett1, Adam M Garber2
1Internal Medicine, University of Pennsylvania, Philadelphia, USA.
Cureus
|October 21, 2024
概括
非结核菌 (NTM) 感染可能导致严重疾病,特别是在免疫力低下的人群中. 这一案例突显了Mycobacterium chelonae在移植患者中引起上升的下肢结节,强调了对NTM诊断的高度临床怀疑的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 移植免疫学 移植免疫学
- 皮肤病学 皮肤病学
背景情况:
- 非结核性真菌菌 (NTM) 是一种机会性病原体,会引起各种感染,特别是在免疫性受损的宿主身上.
- 接受移植的接受者由于免疫抑制疗法而面临感染的风险增加.
- 在下肢上升的结节性病变可以表明传播的感染过程.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
203
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
203
Pulmonary Tuberculosis III
305
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
305
Immunodeficiency Diseases
911
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
911
Decreased Body Temperature
602
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
602
Nephrotic Syndrome I : Introduction
1
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
1
Pneumonia II: Pathophysiology
225
The pathophysiology of pneumonia involves the following steps:
225


