穴位埋线致脓肿分枝杆菌感染  

Mycobacterium abscessus infection after catgut implantation at acupoints:a case report

作　　者：王金容 伍迪[1] 王丽芬[1] 叶建州[1] 杨雪松[1] 欧阳晓勇[1] 姜祎群 张韡 王洪生 WANG Jin-rong;WU Di;WANG Li-feng;YE Jian-zhou;YANG Xue-song;OUYANG Xiao-yong;JIANG Yi-qun;ZHANG Wei;WANG Hong-sheng(Department of Dermatology,Yunnan hospital of traditional Chinese medicinet Kunming 650021,China)

机构地区：[1]云南省中医医院皮肤科,云南昆明650021 [2]中国医学科学院皮肤病医院,江苏南京210042

出　　处：《临床皮肤科杂志》2022年第5期276-278,共3页Journal of Clinical Dermatology

基　　金：云南省冯素英专家工作站,项目编号:202105AF150035。

摘　　要：报告1例穴位埋线致脓肿分枝杆菌感染。患者女,34岁。因躯干与四肢红斑、结节伴痒痛1个月余就诊。患者1个月前至非医疗机构行穴位埋线后埋线部位出现结节、脓肿,脓液抗酸染色阳性,组织病理学检查呈感染性肉芽肿改变,分枝杆菌培养阳性,DNA测序符合脓肿分枝杆菌,诊断为脓肿分枝杆菌感染。予以利福平、莫西沙星、克拉霉素抗感染治疗1年,脓肿消退遗留色素沉着和瘢痕。A 34-year-old woman presented with a 1-month history of multiple painful nodules and abscesses on her trunk and limbs after catgut implantation at acupoints in a non-medical institution.Ziehl-Neelsen stain of pus was positive for acid-fast bacilli.Histopathological examination revealed infectious granuloma.Culture of the pus yielded growth of acid-fast bacilli identified as M.abscesscus using DNA sequence.The patient was diagnosed as M,abscesscus infection and was treated with clarithromycin,rifampicin and moxifloxacin for nearly one year.The lesions resolved with subsequent hyperpigmentation and atrophic scarring.

关 键 词：感染 脓肿分枝杆菌 穴位埋线 

分 类 号：R754[医药卫生—皮肤病学与性病学]