通过手术治疗皮肤上的Mycobacterium marinum感染的负结果:两例病例报告报告
Bo Sang1, Xiujiao Xia, Zehu Liu
1Department of Dermatology, Hangzhou Third People's Hospital, Hangzhou Third Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Medicine
|October 21, 2024
概括
马林菌菌素 (Mycobacterium marinum) 导致类似于运动三病的病变. 抗菌疗法,而不是手术,是这些非结核性菌根菌感染的主要治疗方法,导致病变愈合.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
背景情况:
- 海洋菌 (M. marinum) 是一种在水生环境中普遍存在的缓慢生长的非结核菌 (NTM).
- 马里纳姆菌被认为是一个重要的皮肤病原体,通常会导致类似于运动三病的皮肤病变.
研究的目的:
- 报告两例皮下M. marinum感染病例.
- 突出治疗M. marinum感染的挑战,并强调有效的治疗策略.
主要方法:
- 诊断涉及NTM培养,基因测序和MALDI-TOF质谱仪用于M. marinum的鉴定.
- 患者接受了组合抗菌疗法,包括利法素,澄素和多克西环素.
主要成果:
- 两名患有皮下M. marinum感染的患者成功接受了治疗.
- 病变在8周和5周的抗微生物治疗后愈合,分别.
结论:
- 手术除不足以控制NTM感染的淋巴传播.
- 抗微生物治疗是对M. marinum感染的推第一线治疗方法.
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