지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background/Aims: Non-tuberculous Mycobacterium (NTM) infections usually result in chronic disease, and making a diagnosis isoften difficult. Skin and soft tissue infections due to NTM are not common and are usually diagnosed relatively late. Weinvestigated the clinical characteristics of nine cases of skin and soft tissue infections with NTM.
Methods: Nine patients with an NTM infection who were confirmed consecutively by skin and soft tissue and/or adjacent bonecultures at a teaching hospital between August 2006 and July 2013 were enrolled in this study. The demographics, clinicalcharacteristics, underlying diseases, treatment, and prognosis between different NTM species were reviewed retrospectively.
Results: The most common NTM species causing a soft tissue infection was Mycobacterium abscessus (five patients, 55.6%).
Common sites of infection were the knee and lumbar spine. Five patients (55.6%) had underlying diseases. Six patients (77.8%)were treated with combined surgical treatment (incision and drainage) plus antibiotics. The duration from symptom onset todiagnosis was long (77.7 ± 44.6 days) due to inadequate microbiological evaluation and disregard for the clinical significance of theNTM culture. All patients were cured with treatment; however, the treatment duration was long (181.7 ± 140.0 days). Procedureand cosmetic surgery were the most important risk factors for infection.
Conclusions: The diagnosis of NTM skin and soft tissue infections tends to be delayed in a clinical setting. Therefore, a high indexof suspicion for NTM infection in chronic localized soft tissue infections is essential for diagnosis. Mycobacterium abscessusappears to be the most common NTM species causing soft tissue infections.
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참고문헌 (25)
참고문헌 신청
Mahaisavariya P / 2004 / Mycobacterial skin infections: comparison between histopathologic features and detection of acid fast bacilli in pathologic section / J Med Assoc Thai 87:709~712
/ 1990 / Diagnosis and treatment of disease caused by nontuberculous mycobacteria / Am Rev Respir Dis 142 : 940 ~ 953
Bartralot R / 2000 / Cutaneous infections due to nontub
Butler W / 1999 / Nontuberculous mycobacteria reported to the Public Health Laboratory Information System by state public health laboratories, United States, 1993-1996
Chen HY / 2011 / Skin and soft-tissue infection caused by non-tuberculous mycobacteria in Taiwan, 1997-2008 / Epidemiol Infect 139 : 121 ~ 129
/ 1990 / Diagnosis and treatment of disease caused by nontuberculous mycobacteria / Am Rev Respir Dis 142 : 940 ~ 953
Bartralot R / 2000 / Cutaneous infections due to nontub
Butler W / 1999 / Nontuberculous mycobacteria reported to the Public Health Laboratory Information System by state public health laboratories, United States, 1993-1996
Chen HY / 2011 / Skin and soft-tissue infection caused by non-tuberculous mycobacteria in Taiwan, 1997-2008 / Epidemiol Infect 139 : 121 ~ 129
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