Varma P P, Chugh S, Gupta K L, Sakhuja V, Chugh K S
Department of Nephrology and Internal Medicine, PGIMER, Chandigarh.
J Assoc Physicians India. 1993 Apr;41(4):237-8.
A case of invasive pulmonary aspergillosis and nocardiosis following high dose prolonged steroid therapy given for suspected rapidly progressive glomerulonephritis is reported. A favourable response was achieved with a combination of amphotericin B and cotrimoxazole. A high index of suspicion and aggressive investigations are necessary for confirmation of diagnosis and early institution of appropriate therapy.
报告了一例在因疑似快速进展性肾小球肾炎接受大剂量长期类固醇治疗后发生侵袭性肺曲霉病和诺卡菌病的病例。两性霉素B和复方新诺明联合治疗取得了良好疗效。对于确诊和尽早开始适当治疗而言，高度的怀疑指数和积极的检查是必要的。
