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目的探讨奴卡菌感染的临床表现、影像学特点及诊断、治疗、预后,提高对奴卡菌的认识。方法报告2例奴卡菌感染患者的临床资料、影像学特点、实验室检验和治疗情况,并复习国内外相关文献。结果奴卡菌病临床表现及影像学检查无特异性,容易误诊。诊断主要依据细菌学检查。结论奴卡菌病是罕见但严重的机会性感染。病原菌分离及鉴定是诊断本病的主要依据,应及早使用磺胺类药物治疗。
Objective To investigate the clinical manifestations, imaging features, diagnosis, treatment and prognosis of nocardiosis and to improve the understanding of nocardiatum. Methods The clinical data, imaging characteristics, laboratory tests and treatment of 2 cases of nocardiosis were reported and relevant literature at home and abroad was reviewed. The results of non-specific clinical manifestations of Nocardiosis and imaging studies, easily misdiagnosed. The diagnosis is mainly based on bacteriological examination. Conclusions Nocardiosis is a rare but serious opportunistic infection. Isolation and identification of pathogens is the main basis for the diagnosis of the disease, should be the early use of sulfa drugs.