Wadhwa V, Rai S, Kharbanda P, Kabra S, Gur R, Sharma V K
Department of Microbiology, Maulana Azad Medical College and LN hospital, New Delhi - 110 002, India.
Indian J Med Microbiol. 2006 Jan;24(1):63-4. doi: 10.4103/0255-0857.19900.
The reported case is of primary pulmonary nocardiosis, caused by Nocardia brasiliensis, in a immunocompromised patient, which ended fatally despite appropriate treatment. The partially acid fast filamentous bacterium was predominant on direct examination of the sputum. It was cultured on blood agar, MacConkey agar and by paraffin baiting technique. The bacterium was resistant to cotrimoxazole, the drug of choice for nocardiosis.
报告的病例是一名免疫功能低下患者由巴西诺卡菌引起的原发性肺诺卡菌病,尽管进行了适当治疗,但最终仍致命。痰直接检查显示部分抗酸丝状菌占优势。该菌在血琼脂、麦康凯琼脂上培养,并采用石蜡诱饵技术培养。该菌对复方新诺明耐药,而复方新诺明是诺卡菌病的首选药物。