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一名孕妇的诺卡菌性输卵管卵巢脓肿:一例罕见病例报告

Nocardial tubo-ovarian abscess in a pregnant woman: a rare case report.

作者信息

Kepkep Kumral, Tunçay Yildiz Ayhan, Yigitbasi Rafet

机构信息

Clinic of Obstetrics and Gynecology, Health Ministry Goztepe Education and Research Hospital, Istanbul, Turkey.

出版信息

Aust N Z J Obstet Gynaecol. 2006 Aug;46(4):363-5. doi: 10.1111/j.1479-828X.2006.00607.x.

Abstract

Nocardiosis is a rare disease associated with significant morbidity and mortality in immunocompromised patients. We report on a 32-year-old pregnant woman with nocardiosis, which may be the third reported case in which no risk factor for the infection (other than the pregnancy itself) could be found. Pregnancy was complicated by the formation of a tubo-ovarian nocardia abscess, resulting in abortion. Lapartomy with trimethopprim-sulfamethoxazole led to complete cure of the patient at the end of the fifth month. This case emphasizes the difficulty in the diagnosis and treatment of a nocardial infection during pregnancy.

摘要

诺卡菌病是一种罕见疾病,在免疫功能低下的患者中会导致显著的发病率和死亡率。我们报告了一名32岁患诺卡菌病的孕妇,这可能是第三例未发现感染危险因素(除妊娠本身外)的报告病例。妊娠因输卵管卵巢诺卡菌脓肿的形成而复杂化,导致流产。采用甲氧苄啶-磺胺甲恶唑进行剖腹手术,在第五个月末使患者完全治愈。该病例强调了妊娠期诺卡菌感染诊断和治疗的困难。

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