混合性结缔组织病中星形诺卡菌引起的化脓性心包炎和心脏压塞
Purulent pericarditis and cardiac tamponade caused by Nocardia asteroides in mixed connective tissue disease.
作者信息
Leung W H, Wong K L, Lau C P, Wong C K
机构信息
Department of Medicine, University of Hong Kong, Queen Mary Hospital.
出版信息
J Rheumatol. 1990 Sep;17(9):1237-9.
Pericardial nocardiosis is extremely rare, but may affect especially immunocompromised hosts. We describe the first reported case of purulent pericarditis with cardiac tamponade as the initial presentation of systemic nocardiosis in a patient with mixed connective tissue disease. Our case emphasizes the importance of identifying infectious causes of pericarditis in patients with connective tissue diseases. Longterm survival was achieved with a combined medical and surgical approach.
心包诺卡菌病极为罕见，但可能特别影响免疫功能低下的宿主。我们报告了首例以脓性心包炎伴心脏压塞为系统性诺卡菌病初始表现的病例，该患者患有混合性结缔组织病。我们的病例强调了在结缔组织病患者中识别心包炎感染病因的重要性。通过药物和手术联合治疗实现了长期生存。
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