接受皮质类固醇治疗患者的肺部诺卡菌病。

Pulmonary nocardiosis in a patient treated with corticosteroid therapy.

作者信息

Narushima Michiaki, Suzuki Hajime, Kasai Tomihiko, Tsuzura Yutaka, Tomita Shogo, Endoh Shigeru, Yamada Minehiko, Ohtsuka Hidehiko

机构信息

Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan.

出版信息

Respirology. 2002 Mar;7(1):87-9. doi: 10.1046/j.1440-1843.2002.00370.x.

DOI:10.1046/j.1440-1843.2002.00370.x

PMID:11915862

Abstract

We report a case of pulmonary nocardiosis in a 69-year-old man with rheumatoid arthritis who was receiving corticosteroid treatment. The patient received prednisolone for rheumatoid arthritis and antibiotics for his fever and pneumonia in another hospital, but the response to the therapy was poor. After admission to our hospital, he improved following treatment with imipenem/cilastatin for Nocardia asteroides. Pulmonary nocardiosis is difficult to diagnose and should be considered in the differential diagnosis, especially in an immunocompromised host.

摘要

我们报告一例69岁患类风湿性关节炎且正在接受皮质类固醇治疗的男性发生肺诺卡菌病的病例。该患者因类风湿性关节炎接受泼尼松龙治疗，并在另一家医院因发热和肺炎接受抗生素治疗，但治疗反应不佳。入院后，他接受了针对星形诺卡菌的亚胺培南/西司他丁治疗，病情有所改善。肺诺卡菌病难以诊断，在鉴别诊断中应予以考虑，尤其是在免疫功能低下的宿主中。