Disseminated Nocardia infection in a female patient with idiopathic thrombocytopenic purpura and long-term glucocorticoid use
作者: Shu LiQingbian MaShuo LiYaan ZhengYujiao ChenRui XieJingwei Ma
作者单位: 1Department of Emergency Medicine, Peking University Third Hospital, Beijing, China
刊名: Hong Kong Journal of Emergency Medicine, 2020, Vol.27 (1), pp.51-55
来源数据库: Sage Publications, Inc.
DOI: 10.1177/1024907918779302
关键词: CorticoidLungNocardiosisSkin lesion
原始语种摘要: Introduction:(#br)Nocardiosis is a rare kind of opportunistic infections. Because of its insidious onset and atypical clinical manifestations, diagnosis and early treatment are often delayed.(#br)Case presentation:(#br)Here we present a 60-year-old Chinese female patient with systemic Nocardia infection, who had been diagnosed with idiopathic thrombocytopenic purpura previously and was misdiagnosed for up to 6 months prior to presenting at our hospital and ultimately achieved clinical cure.(#br)Discussion:(#br)The patient took prednisone because of ITP for several years which led to immunosuppression. Nocardia infection began from the skin rupture and then spread all over the body with multiple system involvement. The pus culture eventually found Nocardia. Sulphonamides have been the...
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  • infection 感染
  • treatment 处理
  • present 出席的
  • purpura 紫癜
  • female 女性的
  • suggested 建议
  • achieved 获得的
  • standard 标准
  • patient 有耐性的
  • because 由干