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題 名 | 原發性淋巴皮膚土壤絲菌病--星形土壤絲菌所致=Primary Lymphocutaneous Nocardiosis Caused by Nocardia Asteroides |
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作 者 | 王文政; 陳建州; 沈瑞隆; 王文正; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 16:3 1998.09[民87.09] |
頁 次 | 頁217-222 |
分類號 | 415.725 |
關鍵詞 | 原發性淋巴皮膚土壤絲菌病; Nocardia asteroides; Lymphocutaneous; |
語 文 | 中文(Chinese) |
中文摘要 | 一 77 歲男性病人主訴在前額中央出現一顆發癢小丘疹,歷時一週。不幸在次週 內於其左側臉部長出數顆以線狀分佈的疼痛合併搔養之暗紅色結節,隨即產生膿瘍現象。組 織病理檢查顯示混合型急性和慢性發炎。採膿液作抹片鏡檢,發現有革蘭氏陽性、部份抗酸 性染色陽性之分枝細小菌絲。培養三星期後,隔離出乳白色光滑菌落。進一步以生化反應鑑 定為星形土壤絲菌( Nocardia asteroides ), 確定診斷為原發性淋巴皮膚土壤絲菌病。 經 Bactrim 治療後,皮膚病灶隨即得到緩解。 |
英文摘要 | A 77-year-old man presented with an itching tiny papule in the middle of forehead for more than lweek. Unfortunately, several painful erythematous nodules in linear distribution with subsequent abscess formation erupted on the left side of the face in the next week. Histopathological examination showed mixed acute and chronic inflammation. Microscopic examination of the pus revealed Grampositive, partial acid-fast, branching, filamentous microorganism. Milk-white glabrous colonies were isolated after 3 weeks and were further classified as Nocardia asteroides by biochemical reactions. A diagnosis of primary lymphocutaneous nocardiosis was made. The lesions resolved after treatment with Bactrim. |
本系統中英文摘要資訊取自各篇刊載內容。