弥漫性亚急性诺卡氏放线菌肺炎致肾上腺脓肿。病例报告及文献复习。
Abscess of adrenal gland caused by disseminated subacute Nocardia farcinica pneumonia. A case report and mini-review of the literature.
机构信息
Department of General-, Visceral- and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Germany.
出版信息
BMC Infect Dis. 2009 Dec 2;9:194. doi: 10.1186/1471-2334-9-194.
BACKGROUND
Infections caused by Nocardia farcinica are uncommon and show a great variety of clinical manifestations in immunocompetent and immunocompromised patients. Because of its unspecific symptoms and tendency to disseminate it may mimic the clinical symptoms and radiologic findings of a tumour disease and the diagnosis of nocardiosis can easily be missed, because there are no characteristic symptoms.
CASE PRESENTATION
We present a case of an adrenal gland abscess caused by subacute disseminated N. farcinica pneumonia.
CONCLUSION
An infection with N. farcinica is potentially lethal because of its tendency to disseminate -particularly in the brain- and its high resistance to antibiotics. Awareness of this differential diagnosis allows early and appropriate treatment to be administered.
背景
由星形诺卡氏菌引起的感染并不常见，在免疫功能正常和免疫功能低下的患者中表现出极大的临床表现多样性。由于其非特异性症状和易播散的倾向，它可能模仿肿瘤疾病的临床症状和影像学发现，并且由于没有特征性症状，诺卡氏菌病的诊断很容易被忽略。
病例介绍
我们报告了一例由亚急性播散性星形诺卡氏菌肺炎引起的肾上腺脓肿。
结论
由于星形诺卡氏菌易播散——特别是在大脑中——以及对抗生素的高度耐药性，感染星形诺卡氏菌具有潜在的致命性。对这种鉴别诊断的认识可以尽早给予适当的治疗。
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