一名慢性阻塞性肺疾病患者的呼吸机依赖型肺诺卡菌病

Ventilator-dependent pulmonary nocardiosis in a patient with chronic obstructive pulmonary disease.

作者信息

Pak Stella, Mansour Tarek, Yatsynovich Yan, Kobalka Andrew

机构信息

Department of Medicine, University of Toledo Medical Center, Toledo, OH 43614, USA.

Department of Medicine, Kettering Medical Center, Kettering, OH 45429, USA.

出版信息

Lung India. 2018 Jan-Feb;35(1):58-61. doi: 10.4103/lungindia.lungindia_170_17.

DOI:10.4103/lungindia.lungindia_170_17

PMID:29319037

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5760871/

Abstract

Nocardiosis is a rare infectious disease entity that mostly affects the lungs, brain, or skin of immunocompromised individuals. Recent reports of pulmonary nocardiosis (PN) in patients with chronic obstructive pulmonary disease (COPD) as the only risk factor suggest a possible association between nocardiosis and COPD. Herein, we present a case of ventilator-dependent PN in a patient with a moderate degree of COPD. A high level of suspicion for PN should be maintained when encountered with COPD patients complaining of symptoms of pneumonia and excessive thirst.

摘要

诺卡菌病是一种罕见的感染性疾病，主要影响免疫功能低下个体的肺部、大脑或皮肤。近期有报告称，慢性阻塞性肺疾病（COPD）作为唯一危险因素的患者发生肺诺卡菌病（PN），提示诺卡菌病与COPD之间可能存在关联。在此，我们报告一例中度COPD患者发生依赖呼吸机的PN病例。当遇到抱怨有肺炎症状和极度口渴的COPD患者时，应高度怀疑PN。