论文部分内容阅读
患者女,37岁.咳嗽、咳痰伴发热2年,颈胸部、四肢结节、溃疡1年,曾诊断为肺结核、淋巴结核.皮肤科情况:颈部、前胸、四肢有结节及溃疡,表面有坏死组织及脓液.创口分泌物及痰抗酸染色见大量抗酸杆菌,分泌物结核分枝杆菌rRNA直接检测法(MTD)为鸟胞内分枝杆菌.皮损组织病理示:真皮内可见大量混合性炎症细胞浸润及坏死组织,抗酸染色可见大量抗酸杆菌.诊断:鸟分支杆菌感染.“,”A 37-year-old female was admitted because of cough,sputum production,fever for 2 years,nodules and ulcers on neck-chest for 1 year.She was diagnosed as pulmonary tuberculosis and lymphatic tuberculosis.Dermatology examination showed nodules and ulcers with pus flow and necrotic tissues on the neck,the breast,and limbs.Relevant laboratory tests showed the wound secretion and sputum acid fast staining having a large numberof acid fast bacilli,mycobacterium tuberculosis direct assay (Mycobacterium avium complex).The histological examination of skin lesion on her neck showed a large number of mixed inflammatory cells and necrotic tissues in the dermis,acid fast staining showing a large number of acid fast bacilli.The diagnosis of infection due to mycobacterium avium complex was made.