- 期刊
愛滋病患合併海洋分技桿菌(Mycobacterium Marinum)罕見感染之病例報告
Mycobacterium Marirum Infection in a Patteut with Acquired Immune Deficiency Syndrome
摘要
近年愛滋病患人數大幅成長，早已成爲國內重大的醫療問題。而結核病也是棘手問題。尤其近年非結核分技桿菌也受到重視，愛滋病患因免疫缺損易有多重伺機性感染。本文報告－罕見病例愛滋病忽合併海洋分技桿菌之病例報告。此病又稱爲游泳池肉芽腫或水族作肉芽腫。病人在慣用手指及前臂呈現孢子絲菌病樣皮膚淋巴管症候群之特殊皮膚病灶。治療方面第一線用藥以clarithromycin輔以EMB或rifabutin進行治療，並以外科清創手術治療後病人逐漸痊癒。
並列摘要
The raising number of patients with complicated acquired immunodeficiency syndrome (AIDS) year-afteryear has become a major medical challenge in Taiwan. Non-tuberculous mycobacterium has also come into attention. For many immunocompetent HIV-infected patients are prevalent to multiple opportunistic infections. This is a case report describing an unusual case of an AIDS combined with Mycobacterium marinum infection, also known as swimming pool granuloma or fish tank granuloma. Patient's skin lesions manifested as sporotrichotic lymphangitis and presented at the fingers of the dominant hand and on the forearm. For treatment, Clairithromycin was used as the first line drug in combination with either EMB or rifabutin. Surgical debridement was necessary as well. The patient recovery after above procedures.