首页|肺癌合并达松威尔拟诺卡菌肺部感染1例

肺癌合并达松威尔拟诺卡菌肺部感染1例

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拟诺卡菌是一种罕见的机会性致病菌,随着器官移植、肿瘤患者增多及临床诊疗水平和实验室技术的提高,有关拟诺卡菌感染的文献报道日益增多,但由达松威尔拟诺卡菌引起的肺部感染文献报道较少见。肺癌合并达松威尔拟诺卡菌肺部感染更是较为罕见,因其临床表现和影像学无特异性,细菌培养难度大,容易漏诊、误诊,且患者预后较差。大理大学第一附属医院收治1例肺癌合并达松威尔拟诺卡菌肺部感染患者,通过化疗联合磺胺甲恶唑/甲氧苄啶、莫西沙星抗感染治疗后病情好转,复习既往相关文献,以期提高临床医生对该病的认识。
Lung cancer complicated with Nocardiopsisdassonvillei pulmonary infection:a case report
Nocardia is a rare opportunistic pathogen.The number of reported cases of infections caused by this bacterium is increasing,associated with the rising prevalence of organ transplantation,cancer,as well as improvements in clinical diagnostics and laboratory techniques.However,pulmonary infections caused by Nocardia Darsonwierii are rarely reported.Lung cancer combined with Nocardia Darsonwierii pulmonary infec-tion is even more uncommon.Due to its nonspecific clinical manifestations and imaging features,and the diffi-culty in culturing the bacterium,such infections are prone to being overlooked or misdiagnosed,and the prognosis for affected patients is often poor.The First Affiliated Hospital of Dali University treated a patient with lung cancer and a concurrent Nocardia Darsonwierii pulmonary infection.The patient's condition improved following chemotherapy combined with antimicrobial treatment using sulfamethoxazole/trimethoprim and moxifloxacin.A review of relevant literature was conducted to enhance clinical awareness of this condition.

Lung tumorNocardia DarsonwieriiInfectionCase report

和倩、管勤朝、朱高沣、徐文浩、沈文娟、周刊、张丽、李智、管风云、顾伟

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云南省传染病临床医学分中心/云南省教育厅感染性疾病重点实验室/大理大学第一附属医院感染科,云南 大理 671000

武汉科技大学附属孝感医院重症医学科,湖北 孝感 432000

大理大学第一附属医院儿科,云南 大理 671000

孝感市第一人民医院放射影像科,湖北 孝感 432000

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肺肿瘤 达松威尔拟诺卡菌 感染 病例报告

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(17)