摘要
报道1例Nocardia ninae致放线菌性足菌肿。女性,37岁,上胸部红斑、丘脓疱疹、结节、窦道、斑块20余年。初起于右锁骨中部,逐渐累及前胸部及颈下段,偶有轻微疼痛感。检查:颈下部、上胸部有大片红斑块,其上有散在分布的丘脓疱疹、结节、窦道和结痂,之间有条索状隆起。病理检查:见硫磺颗粒。实验室培养:两种菌生长。经16S rRNA基因全序列测序分析,两株菌分别鉴定为:表皮葡萄球菌及与Nocardia ninae OFN 02.72T系统进化关系较近,相似性为98.1%的诺卡菌。诊断:Nocardia ninae致放线菌性足菌肿。
To report a case of actinomycetic mycetoma caused by Nocardia ninae.A 37-year-old female was admitted for erythema,papulopustule,nodus,sinuses and keloidal scars in the upper thoracic wall for up to 20 years.The first lesion appeared in the middle of right clavicle,and spreaded graduately to the upper thoracic wall and lower neck,with adventitious mild pain.Erythema,papulopustules,nodus,sinuses and keloidal scars were found in the thoracic wall and neck.Sulphur grains were determined by biopsy.Staphylococcus epidermidis and Nocardia sp.,with 98.1% simlarity to Nocardia ninae OFN 02.72T was identified by sequence analysis.The final diagnosis was actinomycetic mycetoma cauesed by Nocardia ninae.
出处
《中国真菌学杂志》
2011年第1期43-45,共3页
Chinese Journal of Mycology
关键词
足菌肿
诺卡菌
放线菌
mycetoma
Nocardia species
actinomycete
