前言患者男,34岁,左膝外伤后1年局部皮下组织出现红肿、硬化、窦道流脓、肌腱肿块、伴腹股沟淋巴结肿大。组织病理诊断肌腱肿块为足菌肿,窦道内肉芽组织培养有巴西奴卡氏菌生长。以青霉素G和复方甲基异唑连续用药2个月结合外科手术治疗,皮损和肿块完全消退,随访8个月未见复发。口恶
A34yearoldmalepresentedwithtumefaction,drainingsinuses,andasubcutaenoustendonmassaroundhisleftknee1yearafteramotorcycleaccident.Hewasdiagnosedasactinomycetomaclinicallyandpathologically.ThediagnosiswasconfirmedbypositivecultureandisolatedNocardiabrasiliensis.Thepatientrespondedverywelltoa2monthcombinedchemotherapyofpenicillinG8millionU/dayandcompoundsulfamethoxazeole[trimethoprim（160mg）sulfamethoxazole（800mg）]twiceaday.Recurrencewas...
