RRC ID 31854
Author Ando T, Usa T, Ide A, Abe Y, Sera N, Tominaga T, Ejima E, Ashizawa K, Nakata K, Eguchi K.
Title Pulmonary nocardiosis associated with idiopathic thrombocytopenic purpura.
Journal Intern Med
Abstract A 69-year-old woman with idiopathic thrombocytopenic purpura, who was regularly followed and treated with prednisolone and danazol, was admitted to our hospital because of shortness of breath. Chest roentgenogram showed a large amount of left-sided pleural effusion. Gram-positive branching rods, subsequently identified as Nocardia farcinica, were isolated from the fluid. Antibiotic treatment together with pleural drainage with an intercostal catheter resulted in complete remission of pyothorax. Pulmonary nocardiosis is a rare disease, but recognition of the disease in immunocompromised patients and the prompt initiation of appropriate treatments based on isolation of the pathogen can lead to a successful outcome.
Volume 40(3)
Pages 246-9
Published 2001-3-1
DOI 10.2169/internalmedicine.40.246
PMID 11310493
MeSH Aged Cilastatin / therapeutic use Empyema, Pleural / complications Empyema, Pleural / pathology Empyema, Pleural / therapy Female Humans Imipenem / therapeutic use Nocardia / isolation & purification Nocardia Infections / etiology* Nocardia Infections / pathology Nocardia Infections / therapy Protease Inhibitors / therapeutic use Purpura, Thrombocytopenic, Idiopathic / complications* Thienamycins / therapeutic use Thorax / pathology
IF 1.005
Times Cited 6
WOS Category MICROBIOLOGY
Resource
Pathogenic microorganisms IFM 0943