共查询到19条相似文献,搜索用时 46 毫秒
1.
2.
肺诺卡菌病影像学检查和临床表现均无特异性,磺胺类、碳青霉烯类、氨基糖苷类、利奈唑胺等多种抗菌药物对该病可能有效[1],体外培养生长非常缓慢,易被其他快生长定植菌覆盖,难于检出,极易被误诊为普通细菌性肺炎,使得病情迁延反复,重则危及生命. 相似文献
3.
4.
肺诺卡菌病(pulmonary nocardiosis)是较少见的肺部感染性疾病,多发生于免疫功能缺陷或慢性疾病患者。我科曾治疗1例肺星形诺卡菌感染系无明显免疫功能抑制者,现报道如下。 相似文献
5.
6.
7.
9.
10.
<正>诺卡菌(Nocardia)在自然界土壤中广泛存在,可通过皮肤和呼吸道等侵入人体,引起急性或慢性化脓性或肉芽肿性疾病,是一种严重的机会性病原菌。诺卡菌引发脑脓肿较为罕见,临床上无特异性表现,极易误诊、漏诊。近年来,随着实验室技术不断提高,基于16S rRNA基因测序分析和宏基因组二代测序(mNGS)的发展,越来越多的诺卡菌分型株被临床检出,主要包括星形诺卡菌(N. asteroides)、鼻疽诺卡菌(N. farcinica)、巴西诺卡菌(N. brasilien)、豚鼠诺卡菌(N.otitidiscaviarum)等。 相似文献
13.
14.
15.
Yoshihiko Kiyasu Hirofumi Toukou Yuya Kondo Shigemi Hitomi 《Journal of infection and chemotherapy》2021,27(8):1238-1243
Although a variety of microorganisms have caused infective endocarditis, Nocardia species have rarely been reported as a causative agent of the disease. We describe a case of nocardial endocarditis, occurring to a 22-year-old Japanese woman during long-term corticosteroid therapy for adult-onset Still’s disease and diagnosed after the rupture of cerebral mycotic aneurysm. Echocardiography showed that the causative organism, isolated from the blood and identified as Nocardia nova with an analysis of 16S ribosomal RNA sequences, affected the posterior papillary muscle of the left ventricle. Nocardia-like organisms were also detected in the pus around the raptured aneurysm. After treatment with imipenem/cilastatin plus amikacin for 3 months followed by oral trimethoprim/sulfamethoxazole for 1 year, no relapse of nocardiosis occurred during a follow-up for 3 years. To our knowledge, the present case is the first reported endocarditis due to N. nova. 相似文献
16.
Pneumoperitoneum (PP), or air within the abdominal cavity, is frequently the harbinger of serious abdominal pathology and frequently represents visceral perforation. Most cases of PP ultimately need surgical exploration and intervention. In addition, cases of nonsurgical PP have also been described in the literature, and it has been suggested that these cases can be managed conservatively. This report documents the occurrence of incidentally found PP. However, it is unclear how often PP is found incidentally, and more importantly how to manage the patient with clinically unsuspected PP without peritoneal signs. Future research could help to better determine the incidence of unsuspected PP and to validate the various diagnostic and treatment algorithms in the literature. 相似文献
17.
获得性免疫缺陷综合征又称艾滋病 (AIDS) ,并发腹膜炎临床少见 ,国内仅有来自国外资料的总结报道。现将我们所遇 1例报告如下。1 病例资料男 ,35岁。外地务工人员。因持续性高热 5 0余天在当地医院内科诊治 ,因腹痛、腹肌紧张伴右下腹压痛明显 ,腹腔穿刺有脓液 ,转外科手术。术中见腹腔有大量脓液 ,无消化道穿孔 ,行阑尾切除术 ,腹腔冲洗。术后阑尾病理检查 ,病变不明显 ,脓液常规细菌培养阴性。术后两天体温正常 ,但第 3天后再次高热 ,切口拆线后 ,于 1997年 4月 2 0日转入我院。查体 :消瘦 ,腹股沟淋巴结大 ,阴茎冠状沟无溃疡 ,腹平… 相似文献
18.
临床资料患者 ,男 ,2 1岁 ,因左侧腹股沟肿物渐增大 1年余 ,明显增大 2月余 ,于 1 999年 3月 1 8日入我院。患者于1年前无诱因觉左侧腹股沟瘙痒不适 ,可触及蚕豆大小的肿物 ,未介意 ,遂后肿物逐渐增大 ,无发热、畏寒、压之不痛 ,近 2个月肿物明显增大 ,皮肤粗糙、无红肿 ,触之不痛 ,夜间偶有盗汗 ,生活规律 ,饮食及二便正常 ,既往无传染病史 ,无特殊嗜好。其母亲于 1 986年行右侧颈淋巴结结核病灶清除术。体检无明显消瘦 ,皮肤巩膜无黄染 ,头、颈、胸未见异常 ,心、肺功能正常 ,肝脾未触及 ,四肢功能正常 ,左侧腹股沟肉眼可见隆起肿物 ,可触… 相似文献
19.
张云盛 《中华临床医师杂志(电子版)》2021,(3):234-235
现病史:患者,男性,64岁,主因"间断纳差2月余"入院.入院前2月余纳差,排便2~3次/d,不成形,无脓血,无腹痛、腹胀,无恶心、呕吐,无头晕、头痛,无心悸、乏力等.于入院前5天就诊于我院门诊行电子胃镜及肠镜检查,并取病理.内镜下表现及病理回报考虑符合Cronkhite-Canada综合征,自患病以来,精神睡眠尚可,小... 相似文献