免疫功能正常的全身播散性诺卡菌病1例

Systemic disseminated nocardiosis in a patient with normal immune function:a case report

诺卡菌病是一种由诺卡菌引起的局部或全身化脓性或肉芽肿性病变,通常发生在免疫抑制状态人群,预后不佳,病死率较高,在免疫功能正常的人群中较少发病。本文介绍一例免疫功能正常患者罹患播散性gipuzkoensis诺卡菌感染的病例,总结了该病例的临床特点及诊疗经过,并进行相关的文献检索及回顾,探讨了诺卡菌病的临床特点、诊断标准及规范化治疗,希望为未来少见诺卡菌亚种感染的治疗提供参考意见。

Nocardiosis,characterized by poor prognosis and high mortality,is a local or systemic suppurative or granulomatous disease caused by Nocardia that is common in immunosuppressed individuals but rare in populations with normal immune function.This paper described one case of Nocardia gipuzkoensis disseminated infection in a patient with normal immune function by outlining the process of treatment,conducting literature review and by outlining the clinical characteristics,diagnostic criteria and standardized treatments of nocardia disease,in the hope of providing reference for subsequent treatment of rare Nocardia subspecies infections.