BMJ:导盲犬教练的手是咋啦?-案例报道

2017-01-13 xing.T MedSci原创

手是一个不常见的感染部位。在这个病人中,粪便污染的狗绳或直接接触受污染的土壤可导致感染的可能来源。

患者47岁,是一名导盲犬的教练,因手部奇痒而就诊,并且该症状影响到了患者主要使用的左手。检查发现红斑匐行性痕迹(如图1所示)。由于之前存在的手部皮炎继发细菌感染导致出现溃疡。


图1

该患者被诊断为皮肤幼虫移行症。采用阿苯达唑400毫克,每日一次,治疗七天后皮损消失。

皮肤幼虫移行症是一种由动物肠道钩虫幼虫钻入皮肤发生寄生虫感染引起的。

手是一个不常见的感染部位。在这个病人中,粪便污染的狗绳或直接接触受污染的土壤可导致感染的可能来源。

原始出处:

Rabia Sofia Rashid, et al. A creeping hand eruption. BMJ.12 January 2017.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1848214, encodeId=70a5184821498, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Jun 08 03:28:00 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170407, encodeId=a2021e040701, content=继续学习中, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:42:39 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170406, encodeId=c4d51e040612, content=寄生虫感染,太可怕了, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:41:37 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170305, encodeId=bdd11e0305e5, content=犬只,即使在现在很多“有钱、干净、与外界接触较少的”环境里面,也有可能患各种各样的寄生虫和病毒细菌方面疾病。要当心留意!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Sat Jan 14 12:59:18 CST 2017, time=2017-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170075, encodeId=93861e007586, content=学习了分享谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Fri Jan 13 13:13:18 CST 2017, time=2017-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170064, encodeId=ba0b1e0064cc, content=皮肤幼虫移形,注意寄生虫感染。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Fri Jan 13 13:02:59 CST 2017, time=2017-01-13, status=1, ipAttribution=)]
    2017-06-08 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1848214, encodeId=70a5184821498, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Jun 08 03:28:00 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170407, encodeId=a2021e040701, content=继续学习中, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:42:39 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170406, encodeId=c4d51e040612, content=寄生虫感染,太可怕了, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:41:37 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170305, encodeId=bdd11e0305e5, content=犬只,即使在现在很多“有钱、干净、与外界接触较少的”环境里面,也有可能患各种各样的寄生虫和病毒细菌方面疾病。要当心留意!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Sat Jan 14 12:59:18 CST 2017, time=2017-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170075, encodeId=93861e007586, content=学习了分享谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Fri Jan 13 13:13:18 CST 2017, time=2017-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170064, encodeId=ba0b1e0064cc, content=皮肤幼虫移形,注意寄生虫感染。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Fri Jan 13 13:02:59 CST 2017, time=2017-01-13, status=1, ipAttribution=)]
    2017-01-15 往日如昨

    继续学习中

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1848214, encodeId=70a5184821498, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Jun 08 03:28:00 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170407, encodeId=a2021e040701, content=继续学习中, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:42:39 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170406, encodeId=c4d51e040612, content=寄生虫感染,太可怕了, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:41:37 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170305, encodeId=bdd11e0305e5, content=犬只,即使在现在很多“有钱、干净、与外界接触较少的”环境里面,也有可能患各种各样的寄生虫和病毒细菌方面疾病。要当心留意!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Sat Jan 14 12:59:18 CST 2017, time=2017-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170075, encodeId=93861e007586, content=学习了分享谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Fri Jan 13 13:13:18 CST 2017, time=2017-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170064, encodeId=ba0b1e0064cc, content=皮肤幼虫移形,注意寄生虫感染。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Fri Jan 13 13:02:59 CST 2017, time=2017-01-13, status=1, ipAttribution=)]
    2017-01-15 往日如昨

    寄生虫感染,太可怕了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1848214, encodeId=70a5184821498, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Jun 08 03:28:00 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170407, encodeId=a2021e040701, content=继续学习中, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:42:39 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170406, encodeId=c4d51e040612, content=寄生虫感染,太可怕了, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jan 15 05:41:37 CST 2017, time=2017-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170305, encodeId=bdd11e0305e5, content=犬只,即使在现在很多“有钱、干净、与外界接触较少的”环境里面,也有可能患各种各样的寄生虫和病毒细菌方面疾病。要当心留意!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160911/IMG57D51CE461BD24798.jpg, createdBy=91d61672802, createdName=西风染林, createdTime=Sat Jan 14 12:59:18 CST 2017, time=2017-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170075, encodeId=93861e007586, content=学习了分享谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Fri Jan 13 13:13:18 CST 2017, time=2017-01-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170064, encodeId=ba0b1e0064cc, content=皮肤幼虫移形,注意寄生虫感染。, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Fri Jan 13 13:02:59 CST 2017, time=2017-01-13, status=1, ipAttribution=)]
    2017-01-14 西风染林

    犬只,即使在现在很多“有钱、干净、与外界接触较少的”环境里面,也有可能患各种各样的寄生虫和病毒细菌方面疾病。要当心留意!

    0

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    2017-01-13 1de11f7fm56(暂无匿称)

    学习了分享谢谢

    0

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    2017-01-13 187清风

    皮肤幼虫移形,注意寄生虫感染。

    0