原发性皮肤诺卡菌病

Saoji Vikrant A, Saoji Sandhya V, Gadegone Rutuja W, Menghani Priyanka R

Department of Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha. Maharashtra, India.

Indian J Dermatol. 2012 Sep;57(5):404-6. doi: 10.4103/0019-5154.100502.

A 35-year-old male presented with multiple discharging sinuses and fluctuant swelling on right side of face which started after a vehicular accident three year back. The lesions did not respond to routine antibiotics treatment but went on increasing. Gram smear showed typical acid fast branching filaments suggestive of nocardiosis, which was confirmed by culture. Patient received co-trimoxazole for three and a half month. When seen again after three years, all the lesions had healed with puckered scarring. Patient had received co-trimoxazole for three and a half months with dramatic improvement.

一名35岁男性，面部右侧出现多个流脓性窦道和波动性肿胀，症状始于三年前的一次车祸。这些病变对常规抗生素治疗无反应，且持续加重。革兰氏涂片显示典型的抗酸分支菌丝，提示诺卡菌病，培养结果证实了这一诊断。患者接受复方新诺明治疗三个半月。三年后复诊时，所有病变均已愈合，留有皱缩性瘢痕。患者接受复方新诺明治疗三个半月后病情显著改善。