偶然分支杆菌皮肤感染59例的临床观察  

Skin infection by M.fortuitum: report of 59 cases

作　　者：向高[1] 

机构地区：[1]福建省南平市第一医院外科,353000

出　　处：《中华普通外科杂志》2001年第11期673-674,共2页Chinese Journal of General Surgery

摘　　要：目的　观察偶然分支杆菌皮肤感染的临床状况。方法　对 1999年 1月至 12月间收治的偶然分支杆菌皮肤感染患者 5 9例作回顾性分析。结果　本组 5 9例患者平均年龄 3 2岁 ,男女之比为 1∶5 6,平均潜伏期为 ( 5 5 0± 3 0 5 )d。 5 9例均有未经规范消毒注射器注射感染史 ,共计有感染灶 76处。 5 9例中经细菌学证实 3 9例 ,占 66% ,阴性 2 0例中有 12例经病理证实 ,两者共 5 1例 ,占86%。所有患者均采用敏感抗生素加有协同作用的抗结核药化疗并施以外科处理。 5 9例均已临床治愈出院。平均随访 18个月 ,无 1例复发。结论　偶然分支杆菌感染可能引起小流行 ,而且对大部分抗生素和抗结核药耐药 ,有些患者可能需要外科引流。Objective To study retrospectively the cl inical features of dermatic infectiom caused by M.fortuitum.Methods From Jan. to Dec. 1999, 59 cases with derma tic infection of M. fortuitun were admitted. Result s Age of the 59 cases averaged at 32 years with the ratio of male to female of 1∶5.6. The average length of illness was (55.0±30.5) day s.All patietns had a history of receiving injection by not well sterilized syri nge. The 59 cases had 76 skin lesions. Diagnosis was confirmed by bacteriology in 39 cas es (66%) and diagnosis in 12 out of the remaining 20 cases was achieved by path ology. All th e cases were cured by antibiotics plus antituberculotic chemotherapy with surger y if indicated. Follow up of average 18 months found no recurrence. Conclusion M.fortuiturn is sometimes e pidemical and often insensitive to many common used antibiotics and antitubercu lotics. Surgical treatment is indicated in some patients.

关 键 词：分支杆菌感染 病例报告 外科处理 皮肤感染 

分 类 号：R632[医药卫生—外科学]