一名HIV阴性免疫功能低下患者出现的伴有多个空洞结节的肺诺卡菌病。

Pulmonary nocardiosis with multiple cavitary nodules in a HIV-negative immunocompromised patient.

作者信息

Hwang Jung Hye, Koh Won-Jung, Suh Gee Young, Chung Man Pyo, Kim Hojoong, Kwon O Jung, Lee Kyung Soo, Lee Nam Yong, Han Joungho

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Intern Med. 2004 Sep;43(9):852-4. doi: 10.2169/internalmedicine.43.852.

DOI:10.2169/internalmedicine.43.852

PMID:15497524

Abstract

The radiological manifestations of pulmonary nocardiosis are very diverse, and include non-segmental consolidation and pulmonary nodule(s). Cavitary nodules most commonly appear in AIDS patients, and are uncommon in non-AIDS patients. We report a case of pulmonary nocardiosis with bilateral multiple cavitary nodules in a HIV-negative 60-year-old man with nephrotic syndrome who was receiving corticosteroid treatment. It is suggested that pulmonary nocardiosis should be considered in the differential diagnosis of multiple cavitary nodules on chest radiographs, even in non-AIDS immunocompromised patients.

摘要

肺诺卡菌病的放射学表现非常多样，包括非节段性实变和肺结节。空洞性结节最常见于艾滋病患者，在非艾滋病患者中并不常见。我们报告一例肺诺卡菌病，患者为一名60岁HIV阴性的肾病综合征男性，正在接受皮质类固醇治疗，双侧出现多个空洞性结节。建议在胸部X线片上出现多个空洞性结节的鉴别诊断中考虑肺诺卡菌病，即使是在非艾滋病免疫功能低下的患者中。