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頁籤選單縮合
題名 | Pulmonary Nocardiosis--A Case Report=肺部奴卡氏菌病--病例報告 |
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作者 | 楊俊杰; 謝俊民; 江國華; 柯獻欽; Yang, Chun-chieh; Shieh, Jiunn-min; Chiang, Kuo-hwa; Ko, Shiann-chin; |
期刊 | 胸腔醫學 |
出版日期 | 20001200 |
卷期 | 15:4 2000.12[民89.12] |
頁次 | 頁195-199 |
分類號 | 415.46 |
語文 | eng |
關鍵詞 | 肺部奴卡氏菌; 類固醇; 磺胺藥物; Pulmonary nocardiosis; Corticosteroid; Sulfa drug; |
中文摘要 | 肺部奴卡氏菌病是一種不常見且具有多種肺部病狀表現的重感染,主要發生在免疫功能低下或接受類固醇治療的慢性阻塞性肺疾病及其他內科疾病患者,但亦能在正常之宿主上造成感染。其傳染途徑主要債存在土壤中的奴卡氏菌經由空氣吸入肺部而呈現出亞急性或慢性肺部發炎。因奴卡氏菌不易培養且能伴隨其他較診斷之肺部疾病共同發生,故診斷不易,唯有高部的警覺配合對病患的了解,方能獲致正確之診斷。 |
英文摘要 | Pumonary nocardiosis is an infrequent but sever infection presenting with a variety of radiographic abnormalities. It is most common in immunocompromised patients or in those being treated with corticosteroid for chronic obstructive pulmonary disease or other systemic disease, but otherwise it may occur in healthy persons. Pulmonary nocardiosis is mainly acquired by direct inhalation of Nocardia spp. from contaminated soil, and presents as a subacute or chronic suppurative pulmonary disease. Norcardia is relatively difficult to culture and nocardiosis can coexist with diseases that are more easily diagnosed, so it is essential to make a proper diagnosis on the basis of a high level of suspicion and the full acknowledgement of the patient. We report a patient with pulmonary nocardiosis who improved after sulfa drug and minocycline treatment. |
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