Carriere C, Marchandin H, Andrieu J M, Vandome A, Perez C
Laboratoire de Bactériologie, Hôpital Arnaud de Villeneuve, 34295 Montpellier Cedex 5, France.
J Clin Microbiol. 1999 Jul;37(7):2323-5. doi: 10.1128/JCM.37.7.2323-2325.1999.
Nocardia asteroides complex is an important opportunistic agent in immunocompromised hosts. Usually, primary pulmonary infection occurs and is followed by dissemination of the pathogen to the central nervous system and soft tissues. As described in the literature, almost every organ can be infected, but to our knowledge, Nocardia has been described as a pathogen responsible for thyroid abscess in only one report, which was published in 1993. The present report is the second case report of Nocardia thyroiditis. The patient was under immunosuppressor treatment following a combined liver-kidney transplant and presented with a preexisting nodular goiter which was probably a predisposing factor to the start and development of the thyroid infection.
星形诺卡菌复合体是免疫功能低下宿主中的一种重要机会致病菌。通常，会发生原发性肺部感染，随后病原体播散至中枢神经系统和软组织。如文献所述，几乎每个器官都可能被感染，但据我们所知，仅在1993年发表的一篇报告中描述过诺卡菌作为导致甲状腺脓肿的病原体。本报告是诺卡菌性甲状腺炎的第二例病例报告。该患者在肝肾联合移植后接受免疫抑制治疗，存在既往结节性甲状腺肿，这可能是甲状腺感染发生和发展的一个易感因素。
