奴卡氏菌病在我国报告不多,截至1985年3月,国内共报告过11例,其中5例有胸部侵犯。现将我院经细菌学检查证实的1例奴卡氏菌胸部感染报告如下: 患者,男,47岁,1月以来因高热,左胸疼在外院诊治。当时胸透见左侧胸腔积液考虑为结核性。以雷米封、链霉素加青霉素,治疗10余天后,高热不退并出现咳嗽及脓痰,胸穿抽出大量脓液。于发病后月余以脓胸、肺脓肿、支气管胸膜瘘转入我院。 Nocardia disease reported in our country is not much, as of March 1985, a total of 11 cases were reported in China, of which 5 cases of chest violations. Now in our hospital confirmed by bacteriological examination of a case of Nocardia chest infection reported as follows: Patients, male, 47 years old, since January due to fever, left chest pain in the hospital for treatment. Thoracic see when the left pleural effusion considered tuberculous. Remy sealed, streptomycin and penicillin, after treatment for more than 10 days, high fever and cough and purulent sputum, pus out a large number of pus. In the month after the onset of empyema, lung abscess, bronchopleural fistula into our hospital.