以反复破溃化脓和疤痕为表现的铜绿假单胞菌皮肤感染一例

Cutaneous infections of Pseudomonas aeruginosa manifested as repeated rupturing,suppuration and scar:a case report

患者,女,28岁。左小腿反复破溃化脓和疤痕6个月余。皮肤科检查:左小腿外侧可见一约5 cm×6 cm红色斑块,部分呈凹陷性疤痕,部分隆起,质地偏软,可挤出少许黄色分泌物。新鲜组织mNGS检测提示铜绿假单胞菌,口服头孢克肟胶囊0.2 g,每日2次,治疗2周后,原有皮疹大部分变平,未见脓性分泌物渗出,2个月随访未见复发。

A 28-year-old female presented with repeated ulceration,suppuration and scar on the left calf for more than 6 months.Physical examination showed erythema 5 cm×6 cm in size on the the left calf,some were concave scars,some were raised lesions,soft and purulent secretion could be squeezed out.Pseudomonas aeruginosa was indenfied by mNGS.Cefixime capsule,0.2g,twice daily was given.The lesions subsided and purulent secretion disappeared after treated for 2 weeks.No recurrence was observed after 2 months follow-up.