Detection of Skin and Soft Tissue Infection by Mycobacterium Abscessus Following Liposuction on Ga-67 SPECT Scintigraphy

鎵-67單光子斷層掃描檢測出抽脂後之皮膚和軟組織膿腫分支桿菌感染

陳愫美(Su-Mei Chen) ； 楊志祥(Chih-Hsiang Yang)

《核子醫學暨分子影像雜誌》 30卷4期 (2017/12) Pp. 151-155

https://doi.org/10.6332/ANMMI.3004.002

摘要

Mycobacterium abscessus (M. abscessus), though an uncommon human pathogen, can cause skin and soft tissue infection after skin injury by inoculation, minor trauma or surgery. We describe a case of a 46-yearold woman presented with multiple erythematous skin lesions at bilateral thighs and right breast, 1 month after receiving a plastic surgery. Ga-67 scintigraphy with single photon emission computed tomography (SPECT) revealed numerous hot foci that corresponded to the skin lesions. The imaging findings together with the clinical progress suggested the diagnosis of disseminated non-tuberculous mycobacterium infection. The culture of abdominal and left thigh lesions concurrently yielded M. abscessus.

關鍵字

Ga-67 scan ； liposuction ； Mycobacterium abscessus ； skin and soft tissue infection

並列摘要

膿腫分枝桿菌 (Mycobacterium abscessus, M. abscessus) 是一種罕見的人類病原體，但可能會在穿刺、輕微創傷和手術後之皮膚損傷處造成皮膚和軟組織感染。一名46 歲的女性接受整形手術後1 個月，在雙側大腿和右乳房出現多發性紅斑性皮膚病變。鎵-67 單光子斷層掃描顯現許多對應於皮膚病變的熱點。影像學檢查結果與臨床病程進展一致指向瀰漫性非結核分枝桿菌感染的診斷；腹部和左側大腿病灶的培養也證實為膿腫分枝桿菌。

並列關鍵字

鎵-67 掃描 ； 抽脂術 ； 膿腫分枝桿菌 ； 皮膚和軟組織感染