奴卡氏菌性足菌肿1例  

A case of mycetoma caused by Nocardia brasiliensis

作　　者：钱坚革[1] 沈异[2] 余爱如[2] 孙建方[1] 吕桂霞[1] 

机构地区：[1]中国医学科学院中国协和医科大学皮肤病研究所,南京210042 [2]浙江省皮肤病防治研究所,杭州313200

出　　处：《临床皮肤科杂志》2002年第5期312-313,共2页Journal of Clinical Dermatology

摘　　要：患者男,34岁,左膝外伤后1年局部皮下组织出现红肿、硬化、窦道流脓、肌腱肿块、伴腹股沟淋巴结肿大。组织病理诊断肌腱肿块为足菌肿,窦道内肉芽组织培养有巴西奴卡氏菌生长。以青霉素G和复方甲基异唑连续用药2个月结合外科手术治疗,皮损和肿块完全消退,随访8个月未见复发。A 34 year old male presented with tumefaction, draining sinuses, and a subcutaenous tendon mass around his left knee 1 year after a motorcycle accident. He was diagnosed as actinomycetoma clinically and pathologically. The diagnosis was confirmed by positive culture and isolated Nocardia brasiliensis. The patient responded very well to a 2 month combined chemotherapy of penicillin G 8 million U/day and compound sulfamethoxazeole[trimethoprim(160mg) sulfamethoxazole (800mg)] twice a day. Recurrence was not found 8 months after the termination of treatment.

关 键 词：足菌肿 奴卡氏菌 药物疗法 病例报告 

分 类 号：R519.1[医药卫生—内科学]