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一名患有软组织肿块的免疫功能低下患者的脑脓肿。

Brain abscesses in an immunocompromised patient with a soft tissue mass.

作者信息

Mwase Thokozani, Mapiye Phineas, Mashigo Boitumelo, le Roux Camilla, Lovelock Tamsin

机构信息

Department of Internal Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

出版信息

S Afr J Infect Dis. 2024 Nov 29;39(1):669. doi: 10.4102/sajid.v39i1.669. eCollection 2024.

DOI:10.4102/sajid.v39i1.669
PMID:39650257
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11622114/
Abstract

UNLABELLED

Nocardiosis is a rare opportunistic infection and may be misdiagnosed as tuberculosis in the immunocompromised patient. This case report highlights the importance of doing tissue cultures in immunocompromised individuals to correctly identify spp. and initiate appropriate treatment timeously.

CONTRIBUTION

This case report describes a typical case of disseminated nocardiosis with brain abscesses in an immunocompromised patient who would have typically been treated as disseminated tuberculosis.

摘要

未标注

诺卡菌病是一种罕见的机会性感染，在免疫功能低下的患者中可能被误诊为结核病。本病例报告强调了对免疫功能低下个体进行组织培养以正确鉴定菌种并及时开始适当治疗的重要性。

贡献

本病例报告描述了一例免疫功能低下患者发生播散性诺卡菌病并伴有脑脓肿的典型病例，该患者通常会被当作播散性结核病进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/b8e489a73007/SAJID-39-669-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/1b1948114746/SAJID-39-669-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/cdbcf59192af/SAJID-39-669-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/1e4b4fd93576/SAJID-39-669-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/adcd40c31ca6/SAJID-39-669-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/b8e489a73007/SAJID-39-669-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/1b1948114746/SAJID-39-669-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/cdbcf59192af/SAJID-39-669-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/1e4b4fd93576/SAJID-39-669-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/adcd40c31ca6/SAJID-39-669-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cfc/11622114/b8e489a73007/SAJID-39-669-g005.jpg

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本文引用的文献

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Neurol Clin Pract. 2023 Apr;13(2):e200134. doi: 10.1212/CPJ.0000000000200134. Epub 2023 Mar 8.
2
Clinical Characteristics and Treatment Outcome of Central Nervous System Nocardiosis: A Systematic Review of Reported Cases.中枢神经系统奴卡菌病的临床特征和治疗结局：系统综述报道病例。
Med Princ Pract. 2022;31(4):333-341. doi: 10.1159/000525509. Epub 2022 Jun 14.
3
Invasive Nocardiosis: Disease Presentation, Diagnosis and Treatment - Old Questions, New Answers?
侵袭性诺卡菌病：疾病表现、诊断与治疗——旧问题，新答案？
Infect Drug Resist. 2020 Dec 22;13:4601-4613. doi: 10.2147/IDR.S249761. eCollection 2020.
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Audit of computed tomography brain findings in HIV-infected patients with space occupying infective lesions at a regional level hospital in KwaZulu-Natal.夸祖鲁-纳塔尔省一家地区级医院对感染艾滋病毒且患有占位性感染性病变患者的脑部计算机断层扫描结果的审计。
SAGE Open Med. 2018 Sep 19;6:2050312118801242. doi: 10.1177/2050312118801242. eCollection 2018.
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Nocardiosis from 1888 to 2017.1888 年至 2017 年的奴卡菌病。
Microb Pathog. 2018 Jan;114:369-384. doi: 10.1016/j.micpath.2017.11.012. Epub 2017 Nov 13.
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