Holtz H A, Lavery D P, Kapila R
Ann Intern Med. 1985 Feb;102(2):203-5. doi: 10.7326/0003-4819-102-2-203.
Four parenteral drug abusers with the acquired immunodeficiency syndrome had nonmycobacterial actinomycetales infections. Three patients had nocardiosis and one developed a streptomyces lymphadenitis. There was pericardial involvement in two patients, and two patients died. Presumptive diagnoses were often incorrect, highlighting the risks of empiric therapy in these patients. Four of the nine patients with the acquired immunodeficiency syndrome and nocardia or streptomyces infections whose cases were reported to the Centers for Disease Control also had mycobacterial disease. A common susceptibility to these agents may exist in these immunosuppressed patients.
四名患有获得性免疫缺陷综合征的静脉药物滥用者发生了非分枝杆菌放线菌目感染。三名患者患有诺卡菌病，一名患者发生了链霉菌淋巴结炎。两名患者出现心包受累，两名患者死亡。初步诊断常常有误，这凸显了对这些患者进行经验性治疗的风险。向疾病控制中心报告病例的九名患有获得性免疫缺陷综合征且感染诺卡菌或链霉菌的患者中，有四名还患有分枝杆菌病。这些免疫抑制患者可能对这些病原体存在共同易感性。
