Yanagisawa N, Miyamoto D, Ichinose Y, Toyama K
First Department of Internal Medicine, Tokyo Medical College.
Kansenshogaku Zasshi. 1999 May;73(5):482-5. doi: 10.11150/kansenshogakuzasshi1970.73.482.
A 57-year-old woman who had been operated on for colon cancer and given chemotherapy, presented in September 1995 with worsening cough and abnormalities on her chest X-ray film. Acid-fast bacilli were isolated from the sputum. The organism was classified as M. gordonae by biochemical tests and DNA/DNA hybridization. The patient was treated with rifampicin and clarithromycin. Subsequently, sputum cultures became negative and the chest x-ray film showed a decrease infiltration. The findings in the present case suggest that M. gordonae may cause pulmonary infection and should be considered as an opportunistic pathogen.
一名57岁曾接受过结肠癌手术并接受化疗的女性,于1995年9月出现咳嗽加重及胸部X光片异常。痰中分离出抗酸杆菌。通过生化试验和DNA/DNA杂交将该菌鉴定为戈登分枝杆菌。患者接受了利福平和克拉霉素治疗。随后,痰培养转阴,胸部X光片显示浸润减少。本病例的结果提示戈登分枝杆菌可能引起肺部感染,应被视为一种机会性病原体。