摘要
目的:探讨肺诺卡菌感染的临床表现、影像学特点及相关实验室诊断方法,提高对诺卡菌的认识,减少误诊。方法:报告1例肺诺卡菌感染患者的临床资料、影像学特点、实验室检验和治疗情况,并复习相关国内外文献。结果:该病临床无特异性,影像学检查显示双肺多发空洞,结节状及片状高密度阴影,容易误诊,诊断主要依据细菌学检验。结论:诺卡菌病是由诺卡菌引起的一种少见但严重的感染,细菌学检验能提供准确的诊断依据。治疗主要采用复方磺胺甲恶唑,疗效显著。
Objective:To investigate the clinical and radiological characteristics and laboratory diagnosis of pulmonary nocardiosis,to improve the recognization and decrease the misdiagnosis of this disease. Method:The clinical feature, radiological characteristics,laboratory diagnosis and treatment were reported in one ease of pulmonary noeardiosis with review of related literature. Results;The disease was without specific clinical feature. A computer tomography (CT) scan of chest showed multiple cavitary nodule and lamellar high-density shadow in both lungs, which was easily to misdiagnose. The most precise diagnosis could be provided by bacteriology examination. Conclusion:Pulmonary nocardiosis is a rarely specific infection and the diagnosis is based on the bacteriology examination. The lesion are improved after the therapy of SMZ-TMP for injection.
出处
《中国误诊学杂志》
CAS
2007年第19期4456-4458,共3页
Chinese Journal of Misdiagnostics