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肺奴卡菌病一例报告

刘学花   

  1. 天津市人民医感染免疫科
  • 收稿日期:2012-04-24 修回日期:2012-09-08 出版日期:2013-03-15 发布日期:2013-03-15
  • 通讯作者: 刘学花

Report of one pulmonary nocardiosis case.

LIUXue-Hua   

  • Received:2012-04-24 Revised:2012-09-08 Published:2013-03-15 Online:2013-03-15
  • Contact: LIUXue-Hua

摘要:

【摘要】 <正>1病例报告患者男,47岁。主因右软腭鳞癌放疗后8个月,间断胸闷、憋气伴咳黄黏痰1个月,加重半月,于2011年1月18日入院。患者8个月前因右软腭鳞癌于本院行根治性放疗:1.8Gy/次,共行9周40次,放疗期间出现Ⅱ度放射性口腔炎,无明显骨髓抑制。此后患者每月复查,病情稳定。3个月前患者间断出现上肢麻木,有过电感,考虑放射性脊髓炎,给予地塞米松每日10mg,静脉注射,约1个月后上述症状缓解,地 

关键词: 奴卡菌, 肺奴卡菌病, 诊断, 治疗

Abstract: Abstract:Objective To investigate the clinical and radiological characteristics and diagnosis,treatment,prognosis of nocardial infection. Methods The clinical feature,radiological characteristics,laboratory diagnosis and treatment of one case of pulmonary nocardiosis. Results The disease has a nonspecific clinical feature and radiological characteristic may present cavitary lesions.The most precise diagnosis was bacteriological test.The treatment must last a long course. Conclusion Immunosuppression is the most important predisposing factor for pulmonary nocardiosis. Sulfonamides are still the drugs of first choice and linezolid appears an effective option for the treatment of nocardiosis. Key words: Nocardia infections; lung diseases;diagnosis;drug therapy

Key words: Nocardia infections, lung diseases, diagnosis, drug therapy