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【转帖】奴卡菌引起肺炎

2012-05-26 23:12:27| 分类：细菌 | 标签： |举报 |字号大中小订阅

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一男性患者，66岁，20多年的老慢支+哮喘，近一个月来咳喘闷，17日入院，wbc2万4,用头孢曲松+左氧3天；18日送检痰培养，灰白色粘液状，涂片不合格，报正常菌群生长。20日改用阿奇霉素+左氧+替硝唑3天，wbc2万5；23日，再次送检痰培养，改用比阿培兰1天；24日wbc2万9.患者症状不断加重，出现呼吸衰竭。入院体温平稳，不发烧。23日送检痰培养，外观：黄色浓痰，洗痰，涂片，接种血平板+中国兰。涂片如下（1,2,3革兰染色，4.5抗酸染色弱阳性)。

BAC:

96h BAC:

涂片抗酸染色：

涂片革兰染色：

【转帖】奴卡菌引起肺炎 - hampc168 - hampc168

培养革兰染色：

转自：http://www.clsi.com.cn/forum/dispbbs.asp?boardid=4&id=18188&authorid=0&page=0&star=1

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