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一名慢性呼吸道感染患者发生耳氏诺卡菌肺部感染。

Pulmonary Nocardia otitidiscaviarum infection in a patient with chronic respiratory infection.

作者信息

Taniguchi H, Mukae H, Ashitani J, Ihi T, Sakamoto A, Kohno S, Matsukura S

机构信息

Third Department of Internal Medicine, Miyazaki Medical College, Kiyotake.

出版信息

Intern Med. 1998 Oct;37(10):872-6. doi: 10.2169/internalmedicine.37.872.

Abstract

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.

摘要

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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