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首页> 外文期刊>Infectious disorders drug targets >Mycobacterium fortuitum complex skin infection in a healthy adolescent
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Mycobacterium fortuitum complex skin infection in a healthy adolescent

机译：健康青少年福氏分枝杆菌复合体皮肤感染

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Mycobacterium fortuitum complex skin infection is described in a previously healthy adolescent girl in Sydney, Australia. Mycobacterium fortuitum typically causes superficial skin infections following trauma to the skin and in our patient may have been related to prior leg “waxing”. This case highlights common causes for a delay in diagnosis: lack of clinician awareness and inadequate microbiological and histopathological investigations of tissue samples. Due to the size and number of lesions, surgical excision was felt to be a less desirable therapeutic option due to the potential risk of poor cosmetic outcome for our patient. The standard chemotherapeutic approach to M. fortuitum infections involves the use of a combination of at least two antimicrobial agents to which the isolate is susceptible. Despite in vitro susceptibility testing that suggested that the isolate from our patient was resistant to most oral anti-microbial agents, our patient was treated successfully with a 10-week course of oral trimethoprim-sulfamethoxazole and moxifloxacin.
机译：在澳大利亚悉尼，一名既往健康的青春期女孩描述了福氏分枝杆菌复合体皮肤感染。福氏分枝杆菌通常在皮肤外伤后引起浅表皮肤感染，在我们的患者中，可能与先前的腿部“打蜡”有关。该病例突出了诊断延迟的常见原因：缺乏临床医生意识以及对组织样本的微生物学和组织病理学检查不足。由于病变的大小和数量，手术切除被认为是一种不太理想的治疗选择，因为我们的患者存在美容效果不佳的潜在风险。福氏分枝杆菌感染的标准化疗方法包括使用至少两种分离株易受的抗菌药物的组合。尽管体外药敏试验表明，我们患者的分离株对大多数口服抗菌剂具有耐药性，但我们的患者还是成功地接受了为期 10 周的口服甲氧苄啶-磺胺甲噁唑和莫西沙星治疗。

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