Taniguchi H, Mukae H, Ashitani J, Ihi T, Sakamoto A, Kohno S, Matsukura S
Third Department of Internal Medicine, Miyazaki Medical College, Kiyotake.
Intern Med. 1998 Oct;37(10):872-6. doi: 10.2169/internalmedicine.37.872.
We report a case of pulmonary Nocardia (N.) otitidiscaviarum infection in a 76-year-old man with chronic respiratory infection. The patient responded poorly to intravenous imipenem and oral minocycline, but later improved after treatment with trimethoprim-sulfamethoxazole. Pulmonary infection with N. otitidiscaviarum should be considered in the differential diagnosis of chronic respiratory infections. Further studies are needed to evaluate the correlation between species and drug susceptibility.
我们报告了一例76岁患有慢性呼吸道感染男性的肺部耳氏诺卡菌感染病例。该患者对静脉注射亚胺培南和口服米诺环素反应不佳，但在接受甲氧苄啶-磺胺甲恶唑治疗后病情有所改善。在慢性呼吸道感染的鉴别诊断中应考虑耳氏诺卡菌引起的肺部感染。需要进一步研究来评估菌种与药物敏感性之间的相关性。
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