中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (1): 45-47.doi: 10.12144/zgmfskin202201045

• 病例报告 • 上一篇    下一篇

原发性皮肤奴卡菌病一例

邓玲俐,鲁青莲,蒋亚辉,罗辉,欧阳飞,于春水   

  1. 遂宁市中心医院皮肤科，四川遂宁，629000
  • 出版日期:2022-01-15 发布日期:2021-11-01
  • 通讯作者: 于春水，E-mail: 373405810@qq.com

Primary cutaneous nocardiosis: a case report

DENG Lingli, LU Qinglian, JIANG Yahui, LUO Hui, OUYANG Fei, YU Chunshui   

  1. Department of Dermatology, Suining Central Hospital, Suining 629000, China
  • Online:2022-01-15 Published:2021-11-01
  • Contact: YU Chunshui, E-mail: 373405810@qq.com

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摘要： 患者，男，72岁。右侧手背、前臂结节伴肿痛3天。组织病理学：（右侧前臂）表皮缺失，真皮可见大片坏死组织，大量中性粒细胞、淋巴细胞及少许多核巨细胞浸润。右侧前臂分泌物细菌培养示：星形奴卡菌生长。诊断为原发性（淋巴型）皮肤奴卡菌病。给予哌拉西林钠舒巴坦钠，夫西地酸乳膏，红光照射治疗后逐渐好转。

关键词: 星形奴卡菌, 皮肤奴卡菌病, 淋巴型

Abstract: A 72-year-old male presented with nodules on the right back of the hand and the forearm with swelling and pain for 3 days. Histopathological examination (right forearm) showed epidermal loss, large necrotic tissue in dermis, a large number of neutrophils, lymphocytes and a few nuclear giant cells infiltration. General bacterial culture of right forearm secretions showed  Nocardia asteroids. The diagnosis of Primary (lymphoid type) cutaneous nocardiosis. The patient was treated with piperacillin sodium and sulbactam sodium, fusidic acid cream and the red LED therapy. The patient was improved.

Key words: Nocardia stellata, cutaneous nocardiosis, lymphoid type