免疫功能正常患者因诺卡菌属导致的多发性脑脓肿。

Multiple brain abscesses due to Nocardia spp. in an immunocompetent patient.

作者信息

Trujillo Danilo E, Ortiz Stephanie, Pérez Oscar, Cortés Camilo A, Carrillo Jorge A

机构信息

Escuela de posgrados, Departamento de Medicina Interna, Universidad del Rosario, Bogotá, D.C., Colombia; Departamento de Medicina Interna, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, D.C., Colombia.

Área de Medicina Interna, Hospital Universitario Mayor - Méderi, Bogotá, D.C., Colombia.

出版信息

Biomedica. 2020 Mar 1;40(1):27-33. doi: 10.7705/biomedica.4925.

DOI:10.7705/biomedica.4925

PMID:32220161

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7357373/

Abstract

The infection by Nocardia spp is not common in immunocompetent patients. The empirical antimicrobial treatment directed by anatomical regions does not contemplate the particularities of the germ and the microbiological analysis is necessary for the specific treatment. We present the case of a previously healthy and immunocompetent patient, without known risk factors for Nocardia spp. infection, with evidence of involvement of the pulmonary parenchyma and the skin and subsequent development of multiple brain abscesses.

摘要

诺卡菌属感染在免疫功能正常的患者中并不常见。按解剖部位进行的经验性抗菌治疗未考虑该病原体的特殊性，特异性治疗需要进行微生物学分析。我们报告一例既往健康且免疫功能正常的患者，无已知诺卡菌属感染风险因素，有肺实质和皮肤受累证据，随后出现多发性脑脓肿。