中华皮肤科杂志 ›› 2010, Vol. 43 ›› Issue (8): 554-554.

• 病例报告 • 上一篇    下一篇

拔甲后继发感染一例

王娜1,李政霄2,耿松梅3,陈洪章4   

  1. 1. 西藏军区总医院皮肤科
    2. 西安交通大学第二医院皮肤科
    3. 西安交通大学医学院第二附属医院皮肤科
    4.
  • 收稿日期:2009-10-16 修回日期:2009-11-19 出版日期:2010-08-15 发布日期:2010-08-10
  • 通讯作者: 王娜 E-mail:cmnily2007@gmail.com

A case of cutaneous infection secondary to nail extraction

  • Received:2009-10-16 Revised:2009-11-19 Online:2010-08-15 Published:2010-08-10

摘要:

摘 要:报道1例粪肠球菌引起芽生菌病样脓皮病。61岁男性患者双足拇趾拔甲术后出现不规则形增殖性斑块,伴黄褐色痂皮及较多脓性分泌物。脓液和组织培养显示粪肠球菌。组织病理示角化过度伴角化不全,表皮呈假上皮瘤样增生,表皮内脓肿形成,内含中性粒及嗜酸性粒细胞为主浸润。患者对足量系统抗生素治疗反应好。

关键词: 关键词:粪肠球菌, 芽生菌病样脓皮病

Abstract:

Abstract: A 61-year-old man, presented with irregular verrucous plaque overlying crusting and erosions on both big toes after nails had been pulled out 1 years ago . Pus swab and biopsy for culture sensitivity showed Enterococcus faecalis. Biopsy showed pseudoepitheliomatous hyperplasia with abscess. He fulfilled criteria for the diagnosis of blastomycosis-like pyoderma viz. presentation of large verrucous plaques with pustules and elevated border, pseudoepitheliomatous hyperplasia with abscess histologically and growth of one pathogenic bacterium on culture or tissue biopsy. He responded to long-term systemic antibiotic therapy.

Key words: Key words: Enterococcus faecalis, Blastomycosis-like pyoderma