海洋生物致手腕部慢性感染个案报道与国内文献分析

Case Report of Chromic Infection Caused by Marinum Organism and System Analysis of Intestine Literature

目的通过对一例海洋生物致手腕部慢性感染病例的介绍,结合对国内相关报道的系统分析,分析国内对该疾病的认识情况,并为其临床诊疗提供参考。方法运用CNKI检索与海洋生物相关的手部慢性感染文献,对纳入文献及其病例进行系统分析。结果经检索筛选出11篇文献,共提取病例381例,有明确海洋生物接触史319例。共193例提及细菌培养结果,阳性仅52例,分枝杆菌35例,其中海分枝杆菌21例。结论海洋生物所致的手部慢性感染,病原学诊断阳性率低,病史及特殊临床表现往往成为临床决策的重要参考依据。

Objective To show a case of hand infection sufer the injury by a scad, and conduct a system analysis of the repores intestine, as to provide reference for the clinical diagnosis and treatment of theses patients. Methods CNKI was used to retrieve literatures related to chronic infection of hands in marine organisms, and systematic analysis was carried out in the literature and cases. Results 381 cases were collected from 11 articals. Exposure to marine organism can be defined in 319 cases. Of the 193 cases, 52 cases had positive bacterial cultures. 21 cases mycobacterium marinum in 35 cases whit the cultures were mycobacteria. Conclusion The rate of etiological diagnosis of chronic infection of hands caused by marine organisms is low. Medical history and special clinical manifestations are often important references for clinical decision making.