反复误诊的偶发分枝杆菌感染一例  

Recurrent misdiagnosis of Mycobacterium fortuitum infection:a case report

作　　者：王娜 暴芳芳[1,2] 施仲香 刘红[1,2] 张福仁 WANG Na;BAO Fangfang;SHI Zhongxiang;LIU Hong;ZHANG Furen(Hospital for Skin Diseases,Shandong First Medical University,Jinan 250022,China;Shandong Provincial Institute of Dermatology and Venereology,Shandong Academy of Medical Sciences,Jinan 250022,China)

机构地区：[1]山东第一医科大学附属皮肤病医院,山东济南250022 [2]山东省皮肤病性病防治研究所,山东济南250022

出　　处：《中国麻风皮肤病杂志》2024年第3期193-195,共3页China Journal of Leprosy and Skin Diseases

基　　金：泰山学者工程专项经费资助(编号:tsqn202211345)。

摘　　要：医源性偶发分枝杆菌感染多与手术伤口、器官移植、透析和注射等有关。本文报道注射后发生的偶发分枝杆菌感染一例,曾多次被误诊为“软组织感染、坏疽性脓皮病”等,最终通过病理、培养和PCR测序确诊,并对分离菌株体外药敏试验。患者经亚胺培南西司他丁钠、阿米卡星、环丙沙星等药物治疗后痊愈,随访5年,患儿无不良反应发生。Iatrogenic Mycobacterium fortuitum infection is mostly related to surgical wounds,organ transplantation,dialysis,and injection.We report a case of Mycobacterium fortuitum infection after injection,which was misdiagnosed as soft tissue infections and pyoderma gangrenosum.The disease was confirmed by pathology,culture,and PCR sequencing,and the isolated strain was tested for susceptibility in vitro.The patient recovered after being treated with imipenem cilastatin sodium,amikacin,ciprofloxacin and other drugs,and after 5 years followed-up,no adverse reactions occurred.

关 键 词：偶发分枝杆菌 皮肤感染 非典型分枝杆菌 

分 类 号：R529.4[医药卫生—内科学]