国际医药卫生导报2017,Vol.23Issue(19):3073-3075,3.DOI:10.3760/cma.j.issn.1007-1245.2017.19.035
1例皮肤巴西奴卡菌感染报道并文献复习
One case of nocardiosis and literature review
何海清 1张勇 1谭泽恩 1郭琴芝2
作者信息
- 1. 015000 内蒙古,巴彦淖尔市医院
- 2. 015300 内蒙古,乌拉特中旗医院
- 折叠
摘要
Abstract
Objective To summarize the clinical manifestations,diagnosis,treatment,and prognosis of nocardiosis.Methods One case of narcotics infection treated at our hospital in 2015 was reported.At the same time,29 cases of domestic reports were reviewed and retrospectively analyzed.Results In all the 30 cases of nocardiosis,22 cases had pulmonary infection and all associated with basic diseases (8 cases had silicosis,1 case silicosis complicated with COPD,8 cases diabetes mellitus,and 5 cases rheumatoid arthritis).8 cases had skin infection;another 5 cases had basic diseases (3 cases had diabetes and 2 cases rheumatoid arthritis);3 cases took adrenal glucocorticoid.Conclusion Nocardiosis is exogenous and opportunistic infection.Nocardia is not only a conditional pathogen in immunosuppressive patients but also in healthy persons with immunity.The symptoms of nocardia infection are atypical.Nocardiosis is easy to be misdiagnosed.Pathological examination is the only way to diagnose nocardiosis.Once diagnosed,sulfa drugs or other sensitive drug treatment should be used as soon as possible and subcutaneous soft tissue infection should be treated surgically.关键词
奴卡菌/诊断/治疗Key words
Nocardiosis/Diagnosis/Treatment引用本文复制引用
何海清,张勇,谭泽恩,郭琴芝..1例皮肤巴西奴卡菌感染报道并文献复习[J].国际医药卫生导报,2017,23(19):3073-3075,3.