由星形诺卡菌引起的皮肤淋巴型诺卡菌病。病例报告及文献复习。
Lymphocutaneous nocardiosis caused by Nocardia asteroides. Case report and literature review.
作者信息
Tsuboi R, Takamori K, Ogawa H, Mikami Y, Arai T
出版信息
Arch Dermatol. 1986 Oct;122(10):1183-5.
A 22-year-old man developed erythematous nodules and an ulcer mimicking sporotrichosis on his right hand and forearm, which was subsequently diagnosed as lymphocutaneous nocardiosis caused by Nocardia asteroides. To our knowledge, 21 cases of lymphocutaneous nocardiosis have been reported, with the majority of those cases, except for a few that remain uncertain, being due to Nocardia brasiliensis. The case reported herein, the first known definitive case caused by N asteroides (to our knowledge), showed a more chronic course and less inflammatory manifestation compared with that caused by N brasiliensis. This is probably because N brasiliensis has a stronger virulence than N asteroides.
一名22岁男性右手和前臂出现了类似孢子丝菌病的红斑结节和溃疡，随后被诊断为由星形诺卡菌引起的皮肤淋巴管型诺卡菌病。据我们所知，此前已报道过21例皮肤淋巴管型诺卡菌病病例，除少数病例病因尚不明确外，大多数病例是由巴西诺卡菌引起的。本文报道的这例病例是已知的首例由星形诺卡菌引起的确切病例（据我们所知），与巴西诺卡菌引起的病例相比，病程更为迁延，炎症表现更少。这可能是因为巴西诺卡菌的毒力比星形诺卡菌更强。
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