首次报告的肺切除术后的nocardia empyema是一次肺切除术
Jonathan A Nakata1, Azzan Arif1, Louis F Chai2
1Division of Thoracic Surgery, Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111, United States.
Journal of surgical case reports
|February 2, 2024
概括
这项研究报告了诺卡迪亚新冠肺炎引起的晚发性肺切除术后肺瘤病例的第一例,该病例发生在免疫能力强的患者身上. 这种罕见的诺卡迪亚静脉发生在肺癌手术9年后.
科学领域:
- 传染性疾病 传染性疾病
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 肺切除术后肺 (PPE) 是肺切除手术后的一种罕见但严重的并发症.
- 诺卡迪亚肺炎异常罕见,通常影响免疫力低下的个体,患有广泛的诺卡迪亚感染.
研究的目的:
- 报告第一个由诺卡迪亚新型引起的晚发性PPE的记录病例.
- 突出在免疫能力较强的患者中Nocardia empyema的诊断和治疗挑战.
主要方法:
- 一个病例研究一个病人九年后肺切除术为非小细胞肺癌.
- 诊断程序包括监视成像 (FDG-PET),胸腔镜胸膜活检和组织培养.
- 从肺部组织培养物中识别诺卡迪亚新型.
主要成果:
- 在右肺切除术9年后,晚期发病的PPE被诊断出.
- 确认感染是由诺卡迪亚新型引起的.
- 最初的恶性瘤检测结果是负面的,诺卡迪亚是血的致病因子.
结论:
- 这一病例是第一个因诺卡迪亚感染而导致的个人防护设备的第二例.
- 在肺切除术后很长一段时间内,免疫能力较强的宿主中可能出现诺卡迪亚 empyema,这给诊断带来了挑战.
- 强调在耐火性恩皮埃马病例中考虑罕见病原体的重要性.
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