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[与肾病综合征相关的肺诺卡菌病]

[Pulmonary nocardiosis associated with nephrotic syndrome].

作者信息

Yuugetu H, Mochizuki Y, Nakahara Y, Tanaka A, Kawamura T, Watanabe S, Sasaki S

机构信息

Department of Internal Medicine, Himeji National Hospital.

出版信息

Nihon Kokyuki Gakkai Zasshi. 2001 May;39(5):338-42.

Abstract

A 70-year-old man treated for 6 months with prednisolone for nephrotic syndrome, was referred to our pulmonary division because of a nodule in the right lower lung field. Nocardia asteroides was isolated from the culture of the percutaneous lung aspiration, and the case was diagnosed as pulmonary nocardiosis. The lesion disappeared after 2 months of therapy with sulfamethoxazole/trimethoprim (1,600 mg/320 mg once a day). Though it had been given prophylactically (800 mg/160 mg twice a week) for the prevention of pneumocystis carinii pneumonitis.

摘要

一名70岁男性因肾病综合征接受泼尼松龙治疗6个月,因右下肺野结节转诊至我院肺科。从经皮肺穿刺抽吸物培养中分离出星形诺卡菌,该病例被诊断为肺诺卡菌病。使用磺胺甲恶唑/甲氧苄啶(1600mg/320mg,每日1次)治疗2个月后病变消失。尽管此前已预防性给予(800mg/160mg,每周2次)以预防卡氏肺孢子虫肺炎。

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