摘要
中年女性患者,临床表现多系统损害,自身抗体阳性、补体低下,临床诊断系统性红斑狼疮,肾活检病理改变为狼疮性肾炎Ⅳ型,予甲泼尼龙总计2.5g冲击,后续口服泼尼松、他克莫司、霉酚酸酯治疗。随访中出现全身多发脓肿,伴反复发热,多处脓液培养均为豚鼠奴卡菌。最终诊断为播散性奴卡菌病。
A 43-year-old female was characterized by multi-system damage, positive autoantibodies and hypoeomplementemia. The renal histologic examiantion showed type Ⅳ lupus nephritis. Then regimen of intravenous methylprednisolone totaled 2. 5g was prescribed, following with oral prednisone, tacrolimus and mycophenolate mofetii. During the follow-up, she was suffered with systemic multiple abscess and recurrent fever. Pus culture showed Nocardia otitidiscaviarum. The final diagnosis was disseminated nocardiosis.
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
北大核心
2014年第3期289-293,274,共6页
Chinese Journal of Nephrology,Dialysis & Transplantation
关键词
系统性红斑狼疮
多发脓肿
播散性奴卡菌病
豚鼠奴卡菌
systemic lupus erythematosus muhiple abscess disseminated nocardiosis Nocardia otitidiscaviarum
