肺诺卡菌病在免疫正常的病人:一个病例报告

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Reza Ibrahimi, Farid Poursadegh, Mahnaz Mozdourian, Fariba Rezaeetalab, Zohre Emamdadi, Sahar Arab Yousefabadi, Sara Samadi
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引用次数: 0

摘要

患者56岁,女性,儿童期支气管扩张史,高血压控制,表现为发热、咳嗽、咯血。尽管最初治疗支气管扩张加剧,她的病情恶化,导致败血症。血液检查显示白细胞增多和CRP升高。肺部HRCT示左右肺坏死实变及结节,提示坏死性肺炎。支气管镜检查显示诺卡菌,导致静脉注射复方新诺明治疗。在ICU治疗一周后病情好转,出院时口服复方新诺明。在6个月的随访期间,患者没有复发,没有发现中枢神经系统或皮肤受累。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report

Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report

The patient, a 56-year-old female with a history of childhood bronchiectasis and controlled hypertension, presented with fever, cough, and hemoptysis. Despite initial treatment for exacerbation of bronchiectasis, her condition worsened, leading to sepsis. Blood tests revealed leukocytosis and elevated CRP. Lung HRCT showed necrotic consolidation and nodules in the left and right lung, suggestive of necrotizing pneumonia. Bronchoscopy revealed Nocardia species, leading to intravenous co-trimoxazole treatment. After a week in ICU, the patient improved and was discharged with oral co-trimoxazole. The patient remained free of relapse during a 6-month follow-up period, with no CNS or cutaneous involvement detected.

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来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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