Department of Exercise Physiology, Hammersmith Hospital, London, United Kingdom.
Singapore Med J. 2013 Jun;54(6):e127-30. doi: 10.11622/smedj.2013098.
Systemic nocardiosis is rarely reported in patients with systemic vasculitis, and is mostly described in patients experiencing long-term immunosuppression following organ transplantation. In this report, we describe a 71-year-old man who developed disseminated Nocardia infection during treatment of his underlying microscopic polyangiitis. He had no other associated risk factors. This case highlights the importance of considering rare pathogens in immunosuppressed patients who present with nonspecific symptoms, as well as the impact of such pathogens on clinical management.
系统性奴卡菌病在系统性血管炎患者中很少见，大多发生在器官移植后长期接受免疫抑制治疗的患者中。本报告描述了 1 例 71 岁男性，在治疗显微镜下多血管炎的过程中发生了播散性奴卡菌感染。他没有其他相关的危险因素。该病例强调了在出现非特异性症状的免疫抑制患者中考虑罕见病原体的重要性，以及这些病原体对临床管理的影响。
