Pifarré R, Teixidó B, Vilá M, Duran M, García J M, Morera J
Sección de Neumología, Hospital Arnau de Vilanova, LLeida.
Arch Bronconeumol. 2001 Dec;37(11):511-2. doi: 10.1016/s0300-2896(01)75132-0.
Lung nocardiosis is a rare disease affecting patients with lymphoreticular neoplasm, immunodeficiency or chronic obstructive pulmonary disease; it can also affect patients who have received transplants. We report a case of lung nocardiosis in which radiographic presentation was acute, with a pattern of multiple bilateral pulmonary nodules ("cannonballs"), requiring us to rule out metastatic disease to arrive at a diagnosis. The patient responded slowly to antibiotic treatment until full resolution.
肺诺卡菌病是一种罕见疾病,影响患有淋巴网状肿瘤、免疫缺陷或慢性阻塞性肺疾病的患者;它也可影响接受过移植手术的患者。我们报告一例肺诺卡菌病病例,其影像学表现为急性,呈双侧多发肺结节(“炮弹”样)模式,需要我们排除转移性疾病才能做出诊断。患者对抗生素治疗反应缓慢,直至完全康复。