• 中西医结合治愈皮肤海分枝杆菌感染1例
  • A Case Report of Mycobacterium Marinum Cutaneous Infection Cured by Combination of Traditional Chinese and Western Medicine.
  • DOI:
    中文关键词:  海分枝杆菌  皮肤感染  坏死性筋膜炎  湿润烧伤膏  托里消毒汤。
    英文关键词:Mycobacterium marinum  Cutaneous infection  Necrotizing fasciitis  MEBO  Tuoli Xiaodu Tang.
    基金项目:
    作者单位邮编
    郑凯 湖南中医药大学 410208
    刘文婷 南昌健源康复医院 
    郭尧 贵溪市中医院 
    向丽萍* 湖南中医药大学第二附属医院 410005
    刘宁 湖南中医药大学第二附属医院 
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    中文摘要:
          海分枝杆菌感染是一种少见的皮肤感染,常规治疗方法疗程长且易复发。现报告贵溪市中医院于2021年6月收治的一例手背部海分枝杆菌性坏死性筋膜炎患者治疗过程:在口服西药利福平片、盐酸乙胺丁醇片、中药汤剂托里消毒汤的基础上,联合手术清创及封闭负压吸引术,术后外用纯中药制剂湿润烧伤膏持续伤口换药,中西医结合治疗6周后痊愈,随访3年未复发。
    英文摘要:
          Mycobacterium marinum infection is an uncommon cutaneous infection, the conventional treatment course is long and easy to relapse. We report a case of necrotizing fasciitis caused by Mycobacterium marinum admitted to Guixi Hospital of Traditional Chinese Medicine in June 2021.On the basis of oral administration of the western medicine rifampicin, ethambutol and the traditional Chinese medicine Tuoli Xiaodu Tang, combined with surgical debridement and vacuum sealing drainage to remove the carrion. Continuous wound dressing change with MEBO after operation. The wound healed after 6 weeks of combined treatment with traditional Chinese and western medicine, and there was no recurrence in 3 years of follow-up.