セキ　マサフミ   SEK Masafumi   関　雅文    所属   埼玉医科大学  医学部 国際医療センター　感染症科・感染制御科    職種   教授
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読あり
表題	[Case report of disseminated nocardiosis complicated in an elderly person with pneumoconiosis].
掲載誌名	正式名：Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases ISSNコード：03875911
巻・号・頁	80(6),721-5頁
著者・共著者	Shigeki Nakamura,Tomo Mihara,Tsutomu Hitotsumatsu,Yoshifumi Soejima,Koichi Izumikawa,Masafumi Seki,Hideaki Ohno,Katsunori Yanagihara,Yasuhito Higashiyama,Yoshitsugu Miyazaki,Yoichi Hirakata,Takayoshi Tashiro,Shigeru Kohno
発行年月	2006/11
概要	Nocardia is typically regarded as an opportunistic infection, with pulmonary nocardiosis frequently disseminated to organs hematogenous by, and nearly half of these cases resulting in complicated nocardia brain abscess. Disseminated nocardia has a dismal prognosis with high mortality, and should be checked for multiple organs including the brain when nocardiosis is diagnosed. We describe the successful treatment of nocardia brain abscesses in an immunocompetent older people with pneumoconiosis by combining trimethoprim-sulfamethoxazole and ciprofloxacin. Patients had no history of fever, headache, or respiratory symptoms such as cough, or sputum until the acute hemiplegia episode. Nocardia infection is not as rare as generally assumed and should be considered as a possibility in the elderly due to its high mortality.
PMID	17176862