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Mycobacterium avium复合体呈现为感染的乳腺上皮包容囊:一个罕见的病例报告

Niti Sureka¹, Shikhar Chohan¹, Sana Ahuja¹

¹Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospitaw Delhi, India.

Diagnostic microbiology and infectious disease

|March 9, 2026

概括

一个罕见的Mycobacterium avium复合体 (MAC) 感染病例发生在一个免疫能力强的女性身上.

科学领域:

医学微生物学医学微生物学
皮肤病学皮肤病学
传染性疾病传染性疾病

背景情况:

非结核性真菌菌 (NTM) 是机会性病原体,主要影响免疫力低下的人.
皮肤NTM感染不常见,可以模仿其他皮肤病.
皮表膜包容性囊 (EIC) 是良性乳腺病变;EIC内的MAC感染非常罕见,在诊断上具有挑战性.

研究的目的:

在乳腺上皮包容性囊 (EIC) 中报告一个异常的Mycobacterium avium复合体 (MAC) 感染病例.
要突出诊断和管理考虑这种罕见的呈现在一个免疫能力强的病人.
强调对持续性乳腺病变进行微生物学研究的重要性.

主要方法:

一个21岁的免疫能力强的女性的案例介绍,她患有痛苦的,扩大的右乳腺质量.
诊断工作包括体检,成像,细针吸收细胞学 (FNAC),Ziehl-Neelsen染色,和Mycobacteria生长指标管 (MGIT) 培养.
治疗涉及12个月的阿米卡辛,莫西弗洛克萨辛,克拉里斯罗米辛和线索利德.

主要成果:

微生物学研究证实了Mycobacterium avium复合体 (MAC) 感染.
患者接受了12个月的多药抗生素治疗方案.
实现了乳腺病变和鼻的完全解决.

结论:

这一案例突出显示了一种极为罕见的MAC感染在乳腺EIC中的免疫能力强的宿主中.
准确的诊断需要高度怀疑和微生物学确认,特别是在持久或非典型的乳腺病变.
及时进行微生物学评估对于这种罕见感染的有效治疗和管理至关重要.

关键词:

一个的.乳房乳房乳房皮肤上包容性囊皮肤上包容性囊这种复杂的菌株是Mycobacterium avium.

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