title: Disseminated Nocardia transvalensis infection resembling pulmonary infarction in a liver transplant recipient.
abstract: Infections due to Nocardia transvalensis are extremely rare: only four disseminated infections with this pathogen have been reported, three of which ended fatally. This is the first report of a liver transplant recipient with Nocardia transvalensis infection. The patient had disseminated infection with pulmonary involvement, which presented as pulmonary infarction. Despite a ten-day delay in the administration of correct therapy, he responded rapidly to trimethoprim-sulfamethoxazole. The pitfalls of differentiating nocardial infection from pulmonary thromboembolism in solid organ transplant recipients and the diagnostic considerations unique to liver transplant recipients are discussed.
authors.affiliation: Department of Internal Medicine C and Infectious Diseases, Belinson Medical Centre, Petah Tiqwa, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Weinberger
authors.forename: A
authors.initials: A
authors.lastname: Eid
authors.forename: L
authors.initials: L
authors.lastname: Schreiber
authors.forename: M
authors.initials: M
authors.lastname: Shapiro
authors.forename: Y
authors.initials: Y
authors.lastname: Ilan
authors.forename: E
authors.initials: E
authors.lastname: Libson
authors.forename: T
authors.initials: T
authors.lastname: Sacks
authors.forename: R
authors.initials: R
authors.lastname: Tur-Kaspa
mesh_terms: D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D016031:Liver Transplantation / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D011655:Pulmonary Embolism / Q000175:diagnosis*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage / Q000627:therapeutic use
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination