结缔组织病合并诺卡菌感染1例并文献复习  

A Case of Connective Tissue Disease Complicated with Nocardia Infection and Literature Review

作　　者：徐建明 袁风红 XU Jianming;YUAN Fenghong(Wuxi People’s Hospital Affiliated to Nanjing Medical University,Wuxi 214023,China;不详)

机构地区：[1]南京医科大学附属无锡人民医院,江苏无锡214023

出　　处：《中外医学研究》2021年第29期120-122,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析结缔组织病合并诺卡菌感染的临床特征及诊治方法。方法:对笔者所在医院2018年12月28日收治的1例结缔组织病合并诺卡菌感染患者进行分析,并进行文献复习。结果:患者因为右上腹痛入院,穿刺腹壁脓肿明确诊断为诺卡菌感染,根据药敏结果予抗生素治疗后,患者腹壁脓肿吸收,治愈出院。结论:诺卡菌感染临床症状及影像学表现均无特异性,易误诊、漏诊。对于反复感染的结缔组织病患者,应警惕如诺卡菌之类少见感染性疾病可能。Objective:To analyze the clinical characteristics,diagnosis and treatment of connective tissue disease complicated with nocardia infection.Method:A case of connective tissue disease complicated with nocardia infection admitted in our hospital on December 28,2018 was analyzed and literature review was conducted.Result:The patient was admitted because of right upper abdominal pain,which was clearly diagnosed as nocardia infection by puncture of abdominal abscess.After antibiotic treatment according to the results of drug sensitivity,the abdominal abscess was absorbed,cured and discharged.Conclusion:The clinical symptoms and imaging manifestations of nocardia infection are not specific,and it is easy to be misdiagnosed and missed.For patients with connective tissue disease who have recurrent infections,the possibility of rare infectious diseases such as nocardia should be considered.

关 键 词：诺卡菌 临床特征 腹壁脓肿 

分 类 号：R593.2[医药卫生—内科学]