Mazet-Guilaume B, Cellerin L, Canfrere I, Sagan C, Chailleux E
Service de Pneumologie, CHU Nantes.
Rev Pneumol Clin. 1998 May;54(2):92-4.
We report a case of atelectasis of the upper right lobe which did not respond to antibiotics. A third bronchial endoscopy with bronchoalveolar lavage was required to make the diagnosis of endobronchial nocardiasis. Search for extension revealed a brain localization. Search for immune deficiency only revealed calcification of the bronchial mucosa in the area of the nocardiasis.
我们报告一例抗生素治疗无效的右上叶肺不张病例。为诊断支气管内诺卡菌病,需进行第三次支气管镜检查及支气管肺泡灌洗。进一步检查发现脑部有病变。免疫缺陷检查仅发现诺卡菌病区域支气管黏膜钙化。