Emerg Infect Dis. 2023 Jun;29(6):1266-1267. doi: 10.3201/eid2906.221854.
Nocardia can cause systemic infections with varying manifestations. Resistance patterns vary by species. We describe N. otitidiscavarium infection with pulmonary and cutaneous manifestations in a man in the United States. He received multidrug treatment that included trimethoprim/sulfamethoxazole but died. Our case highlights the need to treat with combination therapy until drug susceptibilities are known.
奴卡菌可引起表现各异的全身感染。耐药模式因菌种而异。我们在美国报告了一例表现为肺部和皮肤受累的耳炎奴卡菌感染病例,该患者接受了包括复方磺胺甲噁唑在内的多药治疗,但最终死亡。本病例强调了在药敏结果明确之前,需要采用联合治疗方案进行治疗。