豚鼠耳炎诺卡菌致免疫功能正常者播散性诺卡菌病1例  

Disseminated nocardiosis caused by Nocardia otitidiscaviarum in an immunocompetent host:a case report

作　　者：张龙志 山长婷[2] 张守智 裴红运 王娴玮 Zhang Longzhi;Shan Changting;Zhang Shouzhi;Pei Hongyun;Wang Xianwei(Clinical College of Jining Medical University,Jining 272067,China;Department of Pulmonary and Critical Care Medicine,Affiliated Hospital of Jining Medical University,Jining 272029,China;Department of Infectious Diseases,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院临床学院,济宁272067 [2]济宁医学院附属医院呼吸与危重症医学科,济宁272029 [3]济宁医学院附属医院感染性疾病科,济宁272029

出　　处：《中华结核和呼吸杂志》2023年第11期1127-1130,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：诺卡菌病是由诺卡菌引起的机会性感染性疾病,可经血流播散累及多个器官。由豚鼠耳炎诺卡菌所致的诺卡菌病少见,通常发生于免疫功能低下者,临床症状及实验室、影像学检查无特异性。本文报道1例罕见的免疫功能正常者感染豚鼠耳炎诺卡菌引起的播散性诺卡菌病,以提高临床对该疾病的认识及诊疗。Nocardiosis can be caused by various Nocardia spp.,including Nocardia asteroides,Nocardia brasiliensis,Nocardia cyriacigeorgica,Nocardia farcinica and Nocardia otitidiscaviarum.As compared with the other Nocardia spp.,Nocardia otitidiscaviarum appears to be rare which can spread through the bloodstream and affect multiple organs.The disease is usually seen in immunocompromised patients′but may also occur in immunocompetent patients.The clinical symptoms and laboratory and imaging examinations of the disease are nonspecific.Here,we reported a case of disseminated nocardiosis caused by infection with Nocardiosis otitidiscaviarum in an immunocompetent host to improve the knowledge and diagnosis of nocardiosis.

关 键 词：诺卡菌 播散性 影像学检查 免疫功能正常 耳炎 免疫功能低下 临床症状 豚鼠 

分 类 号：R519.1[医药卫生—内科学]