骨科感染偶发分枝杆菌的临床案例分析一例
详细信息    查看全文 | 推荐本文 |
  • 英文篇名:A clinical case of mycobacterium fortuitum infectionin in orthopedics
  • 作者:韩交玲 ; 王雷鸣 ; 郑岩 ; 于雅丽 ; 张英 ; 李菲 ; 许林林 ; 叶静
  • 英文作者:HAN Jiaoling;WANG Leiming;ZHENG Yan;YU Yali;ZHANG Ying;LI Fei;XU Linlin;YE Jing;Department of Clinical Laboratory,Zhengzhou Orthopedics Hospital;
  • 关键词:非结核分枝杆菌 ; 偶发分枝杆菌 ; 骨科 ; 关节
  • 英文关键词:non-tuberculous mycobacteria;;mycobacterium fortuitum;;orthopaedic;;joint
  • 中文刊名:LNWK
  • 英文刊名:Lingnan Modern Clinics in Surgery
  • 机构:郑州市骨科医院检验科;
  • 出版日期:2019-04-20
  • 出版单位:岭南现代临床外科
  • 年:2019
  • 期:v.19
  • 语种:中文;
  • 页:LNWK201902022
  • 页数:4
  • CN:02
  • ISSN:44-1510/R
  • 分类号:101-104
摘要
目的偶发分枝杆菌属于快速生长的分枝杆菌,在自然界分布广泛,但其导致的骨科感染病例少见报道,现分析我院骨科感染偶发分枝杆菌病例一例,为临床治疗提供参考。方法回顾分析其实验室检查过程、临床特点及治疗过程,并随访其治疗效果。结果非结核分枝杆菌容易漏诊、误诊,常规细菌培养不易检出,其导致的感染难以控制,且治疗过程较长。结论非结核分枝杆菌导致的感染报道越来越多,但是治疗过程较复杂,治疗时间较长,其分离、培养及鉴定对临床有着极其重要的意义。
        Objective Mycobacterium fortuitum belongs to the rapidly growing mycobacteria,which is widely distributed in nature,but the clinical cases of mycobacterium fortuitum infectionin in orthopedics rarely reported. Now,we shared a clinical case of our hospital to provide reference for clinical treatment. Methods The process of laboratory examination,clinical features and treatment were analyzed retrospectively. Results Non-tuberculous mycobacterium infection can be easily misdiagnosed with mycobacterium tuberculosis infection,or missed during diagnose. The conventional bacterial culture is difficult to find the infection caused by Mycobacterium fortuitum,and its treatment has a loug-term process. Conclusion More and more non-tuberculosis mycobacterium infection are reported, the isolation, culture and identification of non-tuberculous Mycobacteria are of great significance to clinical practice.
引文
[1]Brode SK,Daley CL,Marras TK.The epidemiologic relationship between tuberculosis and nontuberculous mycobacterial disease:a systematic review[J].Int J Tuberc Lung Dis,2014,18(11):1370-1377.
    [2]Lai CC,Tan CK,Chou CH,et al.Increasing incidence of nontuberculous mycobacteria,Taiwan 2000-2008[J].Emerg Infect Dis,20l0,16(6):294-296.
    [3]Piersimoni C,Scarparo C.Extrapulmonary infections associated with nontuberculous mycobacteria inimmunocompetent persons[J].Emerg Infect Dis,2009,15(9):1351-1358.
    [4]林雅燕,程波,陈丽红,等.四例皮肤非结核分枝杆菌感染临床分析[J].中华皮肤科杂志,2018,51(6):463-464.
    [5]龙航,陈世玖.手部非结核分枝杆菌感染分子诊断技术的研究进展[J].中华实验外科杂志,2014,31(7):1616-1618.
    [6]Smidt KP,Stern PJ,Kiefhaber TR.Atypical mycobacterial infections of the upper extremity[J].Orthopedics,2018,41(3):e383-e388.
    [7]Lopez M,Croley J,Murphy KD.Atypical mycobacterial infections of the upper extremity:becoming more atypical[J]?Hand(N Y),2017,12(2):188-192.
    [8]中华医学会结核病学分会,非结核分枝杆菌病实验室诊断专家共识编写组.非结核分枝杆菌病实验室诊断专家共识[J].中华结核和呼吸杂志,2016,39(6):438-443.
    [9]刘一典,郝晓晖,唐神结,等.非结核分枝杆菌170株耐药情况分析[J].中华临床医师杂志_电子版,2012,6(19):6018-6020.
NGLC 2004-2010.National Geological Library of China All Rights Reserved.
Add:29 Xueyuan Rd,Haidian District,Beijing,PRC. Mail Add: 8324 mailbox 100083
For exchange or info please contact us via email.