检索结果-南通市图书馆

Pulmonary nocardiosis due to Nocardia otitidiscaviarum in an immunocompetent host-A rare case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Medicine 2011年第5期4卷 414-416页

作者： Kusugodlu Ramamoorthi Baise Chandrappagouda Pruthvi Neeleshwara Radhakrishna Rao Jayaprakash Belle Kiran Chawla Department of Medicine KMCManipalManipal University Department of Microbiology KMCManipalManipal University

nocardiosis is a localized or disseminated infection caused by soil-borne aerobic actinomycetes. Pulmonary nocardiosis is a rare infection mostly occurring in immunocompromised *** reported a case of 36 year old immunocompetent non-smoker female patient with no premorbid illness who presented with fever,cough with scanty sputum,hemoptysis,left sided chest pain and exertional dyspnea for two *** was no past history of tuberculosis,diabetes mellitus or steroid *** X-ray showed homogenous peripherally based opacity in the left upper *** was done and brushing sent for culture,which showed colonies with features of Nocardia species after 48 *** phenotypic characterization revealed it to be Nocardia *** was treated with cotrimaxazole for six months after which complete recovery was evidenced symptomatically and *** report this case to emphasize the fact that among the Nocardia species,Nocardia otitidiscaviarum as causative agent of pulmonary disease is rarely reported even in immunocompromised individuals.

关键词： nocardiosis Nocardia otitidiscaviarum Immunocompetent Pulmonary

Disseminated nocardiosis due to Nocardia otitidiscaviarum:A case report and literature review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Medicine 2019年第4期12卷 185-194页

作者： Shu-Wei Zheng Department of Infectious Diseases Singapore General Hospital

Rationale: Disseminated nocardiosis due to Nocardia otitidiscaviarum is rarely reported in immunocompetent *** concerns: A 59 year old male patient complained of painful soft tissue swellings and fever for two ***: Disseminated nocardiosis due to Nocardia otitidiscaviarum. Interventions: Initial antimicrobial therapy with imipenem and trimethoprim/sulfamethoxazole was switched to 6 weeks of trimethoprim/sulfamethoxazole, linezolid and tigecycline after sensitivity test results were available. Thereafter, the patient was switched to maintenance trimethoprim/sulfamethoxazole and moxifloxacin. Prednisolone was gradually ***: Soft tissue swelling and pain disappeared and the patient was discharged ***: Disseminated nocardiosis due to Nocardia otitidiscaviarum should be suspected in immunocompetent hosts with risk factors such as medication with prednisolone. Early identification of the causative species and susceptibility results is crucial given the diverse resistance patterns amongst various Nocardia species.

关键词： Disseminated nocardiosis Nocardia otitidiscaviarum Corticosteroids

Pulmonary alveolar proteinosis complicated with nocardiosis: A case report and review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第12期9卷 2874-2883页

作者： Xiao-Kang Wu Quan Lin Department of Respiratory and Critical Care Medicine The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325015Zhejiang ProvinceChina

BACKGROUND Pulmonary alveolar proteinosis(PAP)is a pulmonary syndrome wherein large volumes of phospholipid and protein-rich surfactants accumulate within the *** forms include primary(auto-immune PAP),secondary,and *** is a form of suppurative disease induced upon infection with bacteria of the Nocardia ***,cases of PAP complicated with Nocardia infections are rare,regardless of ***,as such,they are easily overlooked or *** describe,here,the case of a patient suffering from simultaneous primary PAP and *** SUMMARY A 45-year-old Chinese man,without history of relevant disease,was admitted to our hospital on August 8,2018 to address complaints of activity-related respiratory exertion and cough lasting over 6 *** computed tomography(CT)revealed diffuse bilateral lung infiltration with local consolidation in the middle right lung *** transbronchial lung biopsy and CT-guided lung biopsy led to a diagnosis of primary PAP(granulocyte-macrophage colonystimulating factor antibody-positive)complicated with nocardiosis(periodic acid-Schiff-positive).After a 6 mo course of anti-infective treatment(sulfamethoxazole),the lesion was completely absorbed,such that only fibrous foci remained,and the patient exhibited significant symptom *** also showed improvement in pulmonary function and the CT imaging findings of *** whole-lung lavage has been conducted to *** case highlights that active anti-nocardia treatment may effectively improve the symptoms and alleviate PAP in patients with PAP and nocardia,possibly reducing the need for whole-lung *** When evaluating patients presenting with PAP and pulmonary infections, thepotential for nocardiosis should be considered.

关键词： Pulmonary alveolar proteinosis nocardiosis Vitek mass spectroscopy Whole-lung lavage Case report

Pulmonary nocardiosis with bloodstream infection diagnosed by metagenomic next-generation sequencing in a kidney transplant recipient:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2023年第7期11卷 1634-1641页

作者： Zhen-Feng Deng Yan-Jiao Tang Chun-Yi Yan Zi-Qian Qin Ning Yu Xiong-Bo Zhong Clinical Genome Center Guangxi KingMed DiagnosticsNanning 530007Guangxi Zhuang Autonomous RegionChina Graduate School Guangxi University of Chinese MedicineNanning 530001Guangxi Zhuang Autonomous RegionChina Department of Organ Transplantation No.923 Hospital of Chinese People's Liberation ArmyNanning 530021Guangxi Zhuang Autonomous RegionChina Department of Urology Surgery Ruikang Hospital Affiliated to Guangxi University of Chinese MedicineNanning 530011Guangxi Zhuang Autonomous RegionChina

BACKGROUND Pulmonary nocardiosis is difficult to diagnose by culture and other conventional testing,and is often associated with lethal disseminated *** difficulty poses a great challenge to the timeliness and accuracy of clinical detection,especially in susceptible immunosuppressed *** nextgeneration sequencing(mNGS)has transformed the conventional diagnosis pattern by providing a rapid and precise method to assess all microorganisms in a *** SUMMARY A 45-year-old male was hospitalized for cough,chest tightness and fatigue for 3 consecutive *** had received a kidney transplant 42 d prior to *** pathogens were detected at *** computed tomography showed nodules,streak shadows and fiber lesions in both lung lobes as well as right pleural *** tuberculosis with pleural effusion was highly suspected based on the symptoms,imaging and residence in a high tuberculosisburden ***,anti-tuberculosis treatment was ineffective,showing no improvement in computed tomography *** effusion and blood samples were subsequently sent for *** results indicated Nocardia farcinica as the major *** switching to sulphamethoxazole combined with minocycline for antinocardiosis treatment,the patient gradually improved and was finally *** A case of pulmonary nocardiosis with an accompanying bloodstream infection was diagnosed and promptly treated before the dissemination of the *** report emphasizes the value of mNGS in the diagnosis of *** may be an effective method for facilitating early diagnosis and prompt treatment in infectious diseases,which overcomes the shortcomings of conventional testing.

关键词： Nocardia farcinica nocardiosis Metagenomic next-generation sequencing Diagnosis Case report

Primary lymphocutaneous nocardiosis associated with gardening: A case series

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Infectious Diseases 2013年第4期3卷 86-89页

作者： Giorgio Tarchini Frederick S Ross Department of Infectious Disease Cleveland Clinic Florida Department of Internal Medicine Cleveland Clinic Florida

Most cases of nocardiosis are seen in immunocompromised patients. Primary lymphocutaneous is a relatively uncommon presentation of this disease that may also occurs in normal hosts. Diagnosing this infection requires a high index of suspicion since cultures can take several days to exhibit growth. The microbiology laboratory must therefore be notified about cases in which this pathogen is suspected. We report four cases of primary lymphocutaneous norcardiosis. Of particular interest is the association of three of these cases with gardening.

关键词： Nocardia nocardiosis Lymphocutaneous Brasiliensis Asteroides Gardening

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

nocardiosis二例

广西医学 1985年第1期 48-49页

作者：黄茂生百色地区医院

例1男,53岁,煤矿工人,住院号136620,诊为“肺部奴卡氏菌病并发脓胸”。急性起病。低热,咳嗽,时有盗汗,呼吸短促,胸痛,心悸,食欲不振,衰弱。T37.6～38.8℃,P100～126次/分,R34～42次/分,Bp120/90mmHg。胸部外形正常。心界不大,心律整齐... 详细信息

例1男,53岁,煤矿工人,住院号136620,诊为“肺部奴卡氏菌病并发脓胸”。急性起病。低热,咳嗽,时有盗汗,呼吸短促,胸痛,心悸,食欲不振,衰弱。T37.6～38.8℃,P100～126次/分,R34～42次/分,Bp120/90mmHg。胸部外形正常。心界不大,心律整齐。右侧胸第四前肋以下叩诊呈浊音乃至实音,右中上肺闻及较多小湿性罗音,右下肺呼吸音消失。左肺呼吸音代偿性增强,未闻罗音。右掌背、右足背、右颌下及左膝关节外侧各见一化脓灶。双踝关节呈凹陷性水肿。X线全胸(后前位加侧卧位)片印象:右上肺肿瘤?右侧胸腔积液及右中叶不张。血常规:Hb11g％,WBC27,000,约2/3中性粒细胞出现中毒性颗粒。血沉90mm/h。痰涂片未发现结核杆菌。胸腔抽出液呈

关键词：奴卡氏菌病中毒性颗粒 nocardiosis 结核杆菌结核分枝杆菌分枝杆菌属放线菌性足菌肿心包膜痰涂片脓性炎症

Nocardia infections among immunomodulated inflammatory bowel disease patients:A review

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2015年第21期21卷 6491-6498页

作者： Candida Abreu Nuno Rocha-Pereira António Sarmento Fernando Magro Department of Infectious Diseases Faculty of MedicineCentro Hospitalar S.Joao4200 PortoPortugal Nephrology Research and Development Unit University of Porto Department of Gastroenterology Faculty of MedicineCentro Hospitalar S.Joao4200 PortoPortugal Department of Pharmacology and Therapeutics Faculty of MedicineUniversity of Porto MedInUP Center for Drug Discovery and Innovative MedicinesUniversity of Porto

Human nocardiosis,caused by Nocardia spp.,an ubiquitous soil-borne bacteria,is a rare granulomatous disease close related to immune *** can occur as an acute life-threatening disease,with lung,brain and skin being commonly *** infection was classically diagnosed in HIV infected persons,organ transplanted recipients and long term corticosteroid treated *** the widespread use of immunomodulators and immunossupressors in the treatment of inflammatory diseases changed this *** purpose is to review all published cases of nocardiosis in immunomodulated patients due to inflammatory diseases and describe clinical and laboratory *** reviewed the literature concerning human cases of nocardiosis published between 1980 and 2014 in peer reviewed *** cases of nocardiosis associated with anti-tumor necrosis factor(TNF) prescription(9 related with infliximab and 2 with adalimumab) were identified; 7 patients had inflammatory bowel disease(IBD),4 had rheumatological conditions; nocardia infection presented as cutaneous involvement in 3 patients,lung disease in 4 patients,hepatic in one and disseminated disease in 3 *** the 10 cases described in IBD patients 7 were associated with anti-TNF and 3 with steroids and *** conclusion,nocardiosis requires high levels of clinical suspicion and experience of laboratory staff,in order to establish a timely diagnosis and by doing so avoid worst *** for long periods tailored by the susceptibility of the isolated species whenever possible is *** safety of restarting immunomodulators or anti-TNF after the disease or the value of prophylaxis with cotrimoxazole is still debated.

关键词： nocardiosis Immunomodulation Nocardiaspp. Inflammatory diseases

Diversity and frequency of Nocardia *** the soil of Isfahan province,Iran

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Biomedicine 2012年第6期2卷 474-478页

作者： Kachuei R Emami M Mirnejad R Khoobdel M Molecular Biology Research Center Baqiyatallah University of Medical Sciences Department of Medical Parasitology and Mycology Faculty of Public Health Tehran University of Medial Sciences Health Research Center Baqiyatallah University of Medical Sciences

Objective:To isolate and identify Nocardiaspp. from soil in different regions of Isfahan province in the center of ***:This study was conducted in 32 districts(16 cities and 16 villages)in Isfahan province during two years. A total of 800 soil samples from these regions were studied by using kanamycin. The isolated Nocardiaspecies were examined by gram and acid-fast staining and were identified biochemically and morphologically. The frequency and distribution of Nocardia spp. were determined in relation to different factors such as soil pH and temperate ***:From 153(19.1%)Nocardiaisolates identified,Nocardia asteroids(N. asteroids)complex(45.5%) andNocardia brasiliensis(N. brasiliensis)(24.7%) were the most frequently isolated species, followed by Nocardia otitidiscaviarum (2.2%),Nocardiopsis dassonvillei,Actinom adura actinomadura(each 1.7%) and Nocardia transvalensis(1.1%) and also unknown spp.(23.0%). In this study, most species(54.4%) of Nocardia, especially N. asteroides complex were isolated fromsoils with pH: 7.01-8, whereas in pH: 8.01-9 more N. brasiliensis was isolated. The most Nocardia spp. was detected from regions with semi-nomadic and temperate climate(41.1%).Conclusions:N. asteroids complex is more prevalent in Isfahan province and soil can be a potential source of nocardiosis infections. It is to be considering that climate and soil pH are involved in the frequency and diversity of aerobic Actinomy cetes.

关键词： Nocardia nocardiosis Actinomycetes Soil microbiology Isfahan Iran Nocardia asteroids Climate

Nocardial brain abscess in an immunocompetent patient and review of literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Neurosurgical Journal 2016年第3期2卷 -页

作者： Yinian Zhang Wei Zhu Qiao li Boru Hou Yanfei Jia Naili Wei Yawen Pan Department of Neurosurgery Lanzhou University Second Hospital 82 Cuiyingmen Road Chengguan District Lanzhou 730030 China Department of Pathology Lanzhou University Second Hospital Lanzhou 730030 China Graduate School of Peking Union Medical College Beijing 100730China

Background:Nocardial brain abscesses are associated with significant morbidity and mortality *** optimal management remains *** presentation:We report a case of 49-year-old woman presented with dizziness,progressive headache for 3 days,accompanied with left arm twitched for *** patient underwent a right parietal craniotomy for resection of the *** total resection of the lesion was *** were no new neurological deficits post-operatively,and no lesions was demonstrated on Gd-enhanced MRI images at six months ***:After review of the literature and experience learned from our case,we suggest that craniotomy and surgical resection of the lesions,instead of aspiration,is a safe,efficacious treatment for the patient with nocardial brain ***-term chemotherapy and follow-up is mandatory in all cases.

关键词： Brain abscess nocardiosis Surgical treatment Magnetic resonance imaging