肺萎陷后播散性诺卡菌病：一例报告

Disseminated nocardiosis after pulmonary collapse: a case report.

作者信息

Leelarasamee A, Vanichakarn S, Aswapokee P, Aswapokee N, Nilvarangkur S, Jaroonvesma N

出版信息

Southeast Asian J Trop Med Public Health. 1977 Dec;8(4):558-62.

Abstract

A 24-year-old Thai woman receiving corticosteroid treatment for systemic lupus erythematosus, developed pulmonary nocardiosis after pulmonary collapse. The correct diagnosis was reached when dissemination had occurred which was characterized by two subcutaneous abscesses and acute uveitis of the right eye. Gram stain of sputum and pus revealed delicate, branching, Gram-positive filamentous mycelia which were identified as Nocardia asteroides on culture. Subcutaneous abscesses and exophthalmos disappeared after one week of therapy and she made an uneventful recovery.

摘要

一名24岁的泰国女性因系统性红斑狼疮接受皮质类固醇治疗，在肺萎陷后发生了肺诺卡菌病。当出现播散时才做出正确诊断，其特征为两个皮下脓肿和右眼急性葡萄膜炎。痰液和脓液的革兰氏染色显示有纤细的、分支的革兰氏阳性丝状菌丝体，培养后鉴定为星形诺卡菌。治疗一周后皮下脓肿和眼球突出消失，她顺利康复。