Pulmonary nocardiosis in a child with systemic lupus erythematosus: report of a case.
Nocardiosis is an uncommon complication in children with systemic lupus erythematosus (SLE). This is a case report of pulmonary nocardiosis in a 13 year-old girl with SLE, who presented with fever, chest pain and tachypnea. She had been treated with steroids and cytotoxic agents for five months. Nocardia asteroides was isolated from a surgical specimen culture. The pulmonary nocardiosis was treated by surgical excision in combination with trimethoprim-sulfamethoxazole. Nocardia sp should be considered as a possible agent of infection in immunocompromised patients, especially those treated with corticosteroids at the time of infection.
Wang
S M
SM
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan ROC.
Liu
C C
CC
Chen
C T
CT
Chen
A C
AC
Wu
M H
MH
D000293:Adolescent; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000150:complications*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009617:Nocardia Infections / Q000150:complications*; D009616:Nocardia asteroides; D009894:Opportunistic Infections / Q000150:complications*