Pulmonary Nocardia otitidiscaviarum infection in a patient with chronic respiratory infection.
We report a case of pulmonary Nocardia (N.) otitidiscaviarum infection in a 76-year-old man with chronic respiratory infection. The patient responded poorly to intravenous imipenem and oral minocycline, but later improved after treatment with trimethoprim-sulfamethoxazole. Pulmonary infection with N. otitidiscaviarum should be considered in the differential diagnosis of chronic respiratory infections. Further studies are needed to evaluate the correlation between species and drug susceptibility.
Taniguchi
H
H
Third Department of Internal Medicine, Miyazaki Medical College, Kiyotake.
Mukae
H
H
Ashitani
J
J
Ihi
T
T
Sakamoto
A
A
Kohno
S
S
Matsukura
S
S
D000368:Aged; D000382:Agricultural Workers' Diseases / Q000382:microbiology; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D002908:Chronic Disease; D004352:Drug Resistance, Microbial; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008297:Male; D008826:Microbial Sensitivity Tests; D008911:Minocycline / Q000627:therapeutic use; D009615:Nocardia / Q000145:classification / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D009894:Opportunistic Infections / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D018410:Pneumonia, Bacterial / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013045:Species Specificity; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D015378:Imipenem; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D008911:Minocycline