Disseminated Nocardia transvalensis infection resembling pulmonary infarction in a liver transplant recipient.
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.
Weinberger
M
M
Department of Internal Medicine C and Infectious Diseases, Belinson Medical Centre, Petah Tiqwa, Israel.
Eid
A
A
Schreiber
L
L
Shapiro
M
M
Ilan
Y
Y
Libson
E
E
Sacks
T
T
Tur-Kaspa
R
R
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
D015662:Trimethoprim, Sulfamethoxazole Drug Combination