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耳氏诺卡菌引起的乳腺癌患者播散性诺卡菌病:沙特阿拉伯一家三级中心的病例报告

Disseminated Nocardiosis in a Breast Cancer Patient Caused by Nocardia otitidiscaviarum: A Case Report of Tertiary Centre in Saudi Arabia.

作者信息

Kullab Sharif, Basamad Salem W, Alnwaisir Mosaad, Alhowari Mai, Nohuz Erdogan

机构信息

Oncology, College of Medicine, King Saud University, Riyadh, SAU.

Emergency Medicine, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2022 Feb 28;14(2):e22686. doi: 10.7759/cureus.22686. eCollection 2022 Feb.

Abstract

Nocardiosis is a rare opportunistic disease that primarily affects patients with deficient immune systems. is one of the rare species of Nocardia and it represents less than 3% of all Nocardia cases. Clinical presentation can be varied according to the affected organ. This study describes a case of a breast cancer patient who is immunocompromised due to the chemotherapy. This patient presented with a feature of febrile neutropenia. Investigations of this case led to the diagnosis of Treatment of this underlying infection required to hold the chemotherapy for good time and to adapt patient-specific cancer treatment according to the balance between both need of cancer control and infection treatment according to the susceptibility test as in our case.

摘要

诺卡菌病是一种罕见的机会性疾病,主要影响免疫系统有缺陷的患者。[原文此处缺失具体菌名]是诺卡菌的罕见种类之一,占所有诺卡菌病例的比例不到3%。临床表现会因受影响的器官而有所不同。本研究描述了一例因化疗而免疫功能低下的乳腺癌患者。该患者表现为发热性中性粒细胞减少的特征。对该病例的调查导致诊断为[原文此处缺失具体诊断结果]。治疗这种潜在感染需要暂停化疗一段时间,并根据癌症控制需求和感染治疗需求之间的平衡以及药敏试验,为患者量身定制癌症治疗方案,就像我们这个病例一样。

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