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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 759 - 767 (9page)
이용수
초록· 키워드
오류제보하기
Background Infection caused by nontuberculous mycobacteria (NTM) has been increasing. Awareness of this infection is crucial yet problematic. Delayed management may lead to destructive results. We empirically treated a series of patients with clinical suspicion of NTM infection prior to the identification of the pathogen. Methods A total of 12 patients who developed surgical site infections between January 2011 and February 2014 were reviewed. Patients with a skin and subcutaneous infection resistant to standard management over two weeks, and previous history of aesthetic procedures within three months were regarded as highly suspected of having an NTM infection. A variety of diagnostic modalities were examined simultaneously, along with starting empirical treatment including a combination of clarithromycin and moxifloxacin, and surgical debridement. Results All wounds healed completely within 4 weeks. The mean follow-up duration was 7.2 months, and none of the patients developed relapse. Specific NTM pathogens were identified in six patients. Eight patients showed caseating granuloma implying an NTM infection. One patient showed an uncommon Stenotrophomonas infection, which was successfully treated. Three patients had no evidence of a pathogen despite repeated microbial tests. Complications such as scarring, pigmentation, and disfigurement were common in all the patients. Conclusions NTM should be considered in the differential diagnosis of an unusual skin and soft-tissue infection. We propose an empirical regimen of clarithromycin and moxifloxacin as an efficient treatment option for an NTM infection.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Griffith DE / 2007 / An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases / Am J Respir Crit Care Med 175:367~416
Jong Min Lim / 2012 / Management of Infections with Rapidly Growing Mycobacteria after Unexpected Complications of Skin and Subcutaneous Surgical Procedures / Archives of Plastic Surgery 39(1):18~24
Murillo J / 2000 / Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group / Arch Dermatol 136:1347~1352
Clegg HW / 1983 / Infection due to organisms of the Mycobacterium fortuitum complex after augmentation mammaplasty: clinical and epidemiologic features / J Infect Dis 147:427~433
Meyers H / 2002 / An outbreak of Mycobacterium chelonae infection following liposuction / Clin Infect Dis 34:1500~1507
Jong Min Lim / 2012 / Management of Infections with Rapidly Growing Mycobacteria after Unexpected Complications of Skin and Subcutaneous Surgical Procedures / Archives of Plastic Surgery 39(1):18~24
Murillo J / 2000 / Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group / Arch Dermatol 136:1347~1352
Clegg HW / 1983 / Infection due to organisms of the Mycobacterium fortuitum complex after augmentation mammaplasty: clinical and epidemiologic features / J Infect Dis 147:427~433
Meyers H / 2002 / An outbreak of Mycobacterium chelonae infection following liposuction / Clin Infect Dis 34:1500~1507
이 논문의 저자 정보
최근 본 자료
댓글(0)
0