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首页> 外文期刊>Case Reports in Dermatological Medicine >Mixed Cutaneous Infection Caused byMycobacterium szulgaiandMycobacterium intermediumin a Healthy Adult Female: A Rare Case Report
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Mixed Cutaneous Infection Caused byMycobacterium szulgaiandMycobacterium intermediumin a Healthy Adult Female: A Rare Case Report

机译：健康成年女性中zuzuaii分支杆菌和intermedium intermedium引起的混合皮肤感染：罕见病例报告

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Nontuberculous mycobacteria (NTMs) are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior abdominal wall (over a previous appendectomy scar) for the past 2 years. Microscopy and culture of the pus discharge were done to isolate and identify the etiological agent. Finally, GenoType Mycobacterium CM/AS assay proved it to be a mixed infection caused byMycobacterium szulgaiandM. intermedium. The patient was advised a combination of rifampicin 600 mg once daily, ethambutol 600 mg once daily, and clarithromycin 500 mg twice daily to be taken along with periodic follow-up based upon clinical response as well as microbiological response. We emphasize that infections by NTM must be considered in the etiology of nonhealing wounds or sinuses, especially at postsurgical sites.
机译：非结核分枝杆菌（NTM）普遍存在，并且越来越多地被报道为人类机会性感染。混合NTM引起的皮肤感染极为罕见。我们遇到了一名46岁女性的案例，该女性在过去2年中在下前腹壁（在先前的阑尾切除术疤痕上）表现出多发性鼻窦。进行脓液的显微镜检查和培养以分离和鉴定病原体。最后，GenoType分枝杆菌CM / AS分析证明它是由zuzuaiai和M分枝杆菌引起的混合感染。中间的。建议患者根据临床反应和微生物反应，每日一次联合利福平600mg，乙胺丁醇600mg，克拉霉素500μmg每日两次。我们强调，在不愈合的伤口或鼻窦的病因学中，尤其是在术后部位，必须考虑NTM的感染。

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