국소 스테로이드 주사 후 발생한 Nocardia brasiliensis에 의한 파종성 노카르디아증 1예 = A Case of Disseminated Nocardiosis by Nocardia brasiliensis after Steroid Injection

다국어 초록 (Multilingual Abstract)

Nocardiosis in the immunocompromised host is a rare but life-threatening infection.
Nocardia farcinica and N. asteroides have been reported as the most common causative pathogens of disseminated nocardiosis. It is well known that infection of N. brasiliensis can cause cutaneous nocardiosis mainly, but is rarely known to cause disseminated nocardiosis. We report a case of disseminated nocardiosis by N. brasiliensis . A 68-year-old male subject with no underlying disease developed painful swelling on both lower legs, as well as dyspnea. He was diagnosed with intramuscular abscess, pneumonia and brain abscess by N.
brasiliensis . He underwent incision and drainage for intramuscular abscess, as well as antibiotic therapy, and was successfully treated.

참고문헌 (Reference)

1 박기호, "신이식 환자에서 발생한 Nocardia elegans 폐농양 1예" 대한감염학회 40 (40): 116-120, 2008

2 심성훈, "스테로이드를 투여 받는 환자에서 발생한 Nocardia farcinica 뇌 농양 1예" 대한감염학회 40 (40): 301-304, 2008

3 한승태, "국소 분절 사구체 경화증 환자에서 발생한 Nocardia farcinica 뇌 농양 1예" 대한신장학회 30 (30): 98-101, 2011

4 이수환, "간이식 환자에서 발생한 Nocardia farcinia 폐렴 및 패혈성 쇼크 1예" 대한결핵및호흡기학회 69 (69): 469-473, 2010

5 Kawkitinarong K, "Pulmonary alveolar proteinosis: a report of seven patients from King Chulalongkorn memorial hospital" 88 (88): S312-S316, 2005

6 Mandell GL, "Principles and Practice of Infectious disease" Churchill Livingstone 3199-3208, 2009

7 Agterof MJ, "Nocardiosis: a case series and a mini review of clinical and microbiological features" 65 : 199-202, 2007

8 Tremblay J, "Nocardiosis in Quebec, Canada, 1988-2008" 17 : 690-696, 2011

9 Minero MV, "Nocardiosis at the turn of the century" 88 : 250-261, 2009

10 Lerner PI, "Nocardiosis" 22 : 891-905, 1996

11 Amatya R, "Nocardia brasiliensis primary pulmonary nocardiosis with subcutaneous involvement in an immunocompetent patient" 29 : 68-70, 2011

12 Steer A, "Focal pulmonary alveolar proteinosis in pulmonary tuberculosis" 87 : 347-352, 1969

13 Tan CK, "Clinical and microbiological characteristics Nocardiosis including those caused by emerging Nocardia species in Taiwan, 1998-2008" 16 : 966-972, 2010

14 Brown-Elliott BA, "Clinical and laboratory features of the Nocardia spp. based on current molecular taxonomy" 19 : 259-282, 2006

15 Uhde KB, "Antimicrobial-resistant Nocardia isolates, United States, 1995-2004" 51 : 1445-1448, 2010

16 신정우, "16S Ribosomal RNA로 진단한 Nocardia brasiliensis에 의한 파종성 피부 노카르디아증 1예" 대한피부과학회 47 (47): 1024-1028, 2009