由于Mycobacterium Avium复合体引起的小手腕的颗粒状紧缩性肌炎 - 一个案例报告
Eric Taris1, Christopher Guerra2, Parth A Goenka1
1Department of Orthopedic Surgery, East Tennessee State University, James H Quillen College of Medicine, Johnson City, Tennessee, USA.
Journal of orthopaedic case reports
|February 17, 2025
概括
菌复合体 (MAC) 可以引起罕见的手腕紧筋炎,呈现为长时间的疼痛. 及时诊断和治疗对于防止这种不寻常的肌肉骨感染复发至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 肌肉骨系统疾病 肌肉骨系统疾病
- 医疗病例报告 病例报告
背景情况:
- 肌肉骨 (MSK) 参与的Mycobacterium avium复合体 (MAC) 是不常见的,特别是在上肢.
- 手和手腕紧筋膜炎是MAC感染中最常见的MSK表现.
- 这一案例突出显示了手部MAC诱导的肌炎的非典型表现.
研究的目的:
- 描述一个不寻常的Mycobacterium avium复合体 (MAC) 触手炎的病例.
- 强调在长时间的手腕疼痛和胀的差异诊断中考虑MAC感染的重要性.
- 通知从业人员关于MAC紧突炎复发的可能性.
主要方法:
- 一个病例报告介绍了一名87岁的女性,她有两年的手腕疼痛和胀病史.
- 患者接受了激进的突切除术和三重抗生素治疗,以确认MAC大米体.
- 记录了临床过程和5年后的随访情况.
主要成果:
- 这位患者长期出现了2年的手腕疼痛和胀病史,最初在肺炎后住院治疗.
- 对MAC大米体的诊断导致了鼻切除术和抗生素治疗.
- 尽管初始治疗,患者经历了复发性紧突炎,进一步的治疗由于晚年和认知能力下降而下降.
结论:
- 菌复合体 (MAC) 可以导致手部的非典型肌炎,呈现为持续的手腕疼痛.
- 及时诊断和适当的治疗对于MAC感染至关重要.
- 在无法解释的手腕胀的情况下,从业人员应保持对MAC感染的高度怀疑指数,以防止延迟诊断和潜在的复发.
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