Dominguez D C, Antony S J
University of Texas at El Paso, Texas Tech University Health Sciences Center, USA.
J Natl Med Assoc. 1999 Jan;91(1):35-9.
A retrospective survey of nocardia and actinomyces infections in five local hospitals was conducted over a 3-year period in El Paso, Texas, a border city, in the southwestern United States. The medical records of 42 patients with suspected nocardiosis or actinomycosis were reviewed. One patient was diagnosed with actinomyces and 12 patients with nocardia. Microbiological data included morphologic characteristics, biochemical profile, and susceptibility testing. Predisposing factors included leukemia, renal insufficiency, renal transplant, and lymphoma. No predisposing factors were found in 67% (n = 8) of patients (including the patient with actinomycosis). Twenty-three percent (n = 3) of patients had disseminated disease without evidence of underlying disease or immunosuppression. The mortality and morbidity of these infections appeared to be low.
在美国西南部边境城市得克萨斯州埃尔帕索，对五家当地医院的诺卡菌和放线菌感染情况进行了为期3年的回顾性调查。对42例疑似诺卡菌病或放线菌病患者的病历进行了审查。1例患者被诊断为放线菌感染，12例患者被诊断为诺卡菌感染。微生物学数据包括形态学特征、生化特征和药敏试验。易感因素包括白血病、肾功能不全、肾移植和淋巴瘤。67%（n = 8）的患者（包括放线菌感染患者）未发现易感因素。23%（n = 3）的患者患有播散性疾病，且无潜在疾病或免疫抑制的证据。这些感染的死亡率和发病率似乎较低。
