一名艾滋病患者发生播散性豚鼠耳炎诺卡菌感染。

Disseminated Nocardia otitidiscaviarum in a patient with AIDS.

作者信息

Sandre R M, Summerbell R C

机构信息

Haven (HIV) Clinic, Laurentian Hospital, Sudbury, Ontario; Ontario Ministry of Health, Laboratory Services Branch, Etobicoke, Ontario; University of Toronto, Department of Clinical Biochemistry, Toronto, Ontario.

出版信息

Can J Infect Dis. 1997 Nov;8(6):347-50. doi: 10.1155/1997/305246.

DOI:10.1155/1997/305246

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3250904/

Abstract

A case of disseminated infection due to Nocardia otitidiscaviarum is described in a Caucasian man infected with the human immunodeficiency virus. The patient presented with no previous AIDS-defining conditions, a CD4 lymphocyte count of 206 cells/mm(3) and enlarging intra-abdominal and chest wall abscesses with bilateral pulmonary infiltrates. Aggressive surgical debridement and antimicrobial therapy with trimethoprim/sulfamethoxazole and amikacin resulted in clinical cure. Long term suppressive therapy was needed to prevent relapse.

摘要

一名感染人类免疫缺陷病毒的白种男性患者出现了由耳氏诺卡菌引起的播散性感染。该患者既往无艾滋病界定疾病，CD4淋巴细胞计数为206个细胞/mm³，出现腹部和胸壁脓肿增大并伴有双侧肺部浸润。积极的外科清创以及使用甲氧苄啶/磺胺甲恶唑和阿米卡星进行抗菌治疗后实现了临床治愈。需要长期抑制性治疗以预防复发。

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