Bronchiolitis obliterans and Nocardia asteroides infection of the lung.
This report describes a patient with right lower lung (RLL) pneumonia of a subacute nature. Sputum and bronchial washings both grew N asteroides. Open lung biopsy showed bronchiolitis obliterans. Both the clinical and radiologic picture dramatically improved during three weeks of treatment with trimethoprim and sulfamethoxazole (TMP - SMX), indicating the possibility that N asteroides infection contributed to bronchiolitis obliterans pneumonia in this patient.
Camp
M
M
Department of Internal Medicine, Quillen-Dishner College of Medicine, East Tennessee State University, Johnson City 37601.
Mehta
J B
JB
Whitson
M
M
D000368:Aged; D001989:Bronchiolitis Obliterans / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000150:complications* / Q000188:drug therapy; D009616:Nocardia asteroides; D011859:Radiography; D013183:Sputum / Q000382:microbiology; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use
D014295:Trimethoprim; D013420:Sulfamethoxazole