Tinggaard Michaela, Bagge Kristian
Ugeskr Laeger. 2017 Jun 5;179(23).
Nocardiosis is primarily an opportunistic infection caused by aerobic Gram-positive bacteria of the genus Nocardia. In this case report we describe a male patient who previously received a kidney transplant and was admitted to hospital with chills, headache and pain in the neck and left eye, tremor and coordination problems. A magnetic resonance scan of the brain showed multiple abscesses, and blood culture was positive for Nocardia farcinica. Nocardiosis of the central nervous system is a rare, but serious differential diagnosis in immunosuppressed patients with signs of high intracranial pressure.
诺卡菌病主要是由诺卡菌属需氧革兰氏阳性菌引起的一种机会性感染。在本病例报告中，我们描述了一名男性患者，他之前接受了肾移植，因寒战、头痛、颈部和左眼疼痛、震颤及协调问题入院。脑部磁共振扫描显示有多个脓肿，血液培养结果显示豚鼠耳炎诺卡菌呈阳性。中枢神经系统诺卡菌病在有高颅内压体征的免疫抑制患者中是一种罕见但严重的鉴别诊断。
