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特发性膜性肾病合并肺巴西奴卡菌及肺炎克雷伯杆菌感染1例并文献复习
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Abstract:
奴卡菌感染肺部组织可引起肺奴卡菌病，主要感染免疫系统功能低下者。本例患者通过经皮肺穿刺活组织病理学检查和痰培养，确诊膜性肾病后肺巴西奴卡菌病，后血培养示肺炎克雷伯杆菌，予以抗感染治疗后好转出院。本文通过分析一例临沂市人民医院肺巴西奴卡菌病患者的诊治过程，总结了该病病原学特征、易感人群、组织及影像改变、细菌学检查和治疗方案，以期提高临床医生对该病的认识，早期识别，以降低该病误诊率，及时诊治，改善预后。
Nocardia infection of lung tissue can cause pulmonary nocardiosis, mainly infecting people with weakened immune systems. The patient in this case was diagnosed with post-membranous nephropathy pulmonary nocardiosis through percutaneous lung biopsy and sputum culture, and the latter blood culture showed Klebsiella pneumoniae. After receiving anti-infective treatment, the patient improved and was discharged. In this paper, by analyzing the diagnosis and treatment pro-cess of a patient with pulmonary brazilian nocardiosis, the etiological characteristics, susceptible population, tissue and imaging changes, bacteriological examination and treatment plan of the dis-ease were summarized, in order to improve clinicians’ understanding of the disease, early stage identification, in order to reduce the rate of misdiagnosis of the disease, timely diagnosis and treatment, and improve the prognosis.
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