Gibb W, Williams A
Scand J Infect Dis. 1986;18(6):583-5. doi: 10.3109/00365548609021666.
A 45-year-old man presented with persistent nasal discharge and later developed arthropathy, cutaneous vasculitis, a macular rash and radiographic lung opacities. Early relapse after starting immunosuppressive therapy consisted of new cavitating lung opacities, as seen in Wegener's granulomatosis, and subcutaneous nodules. Lymph node biopsy showed Nocardia asteroides. One month after high dose cotrimoxazole the chest X-ray was normal.
一名45岁男性,起初表现为持续性鼻分泌物增多,随后出现关节病、皮肤血管炎、斑丘疹以及肺部影像学检查显示的肺部混浊。开始免疫抑制治疗后早期复发表现为出现新的空洞性肺部混浊,如韦格纳肉芽肿所见,以及皮下结节。淋巴结活检显示星形诺卡菌。大剂量复方新诺明治疗1个月后胸部X线检查恢复正常。