[Isolation of three species of Nocardia in a patient receiving long-term corticosteroid therapy].
BACKGROUND
Nocardia are saprophyte bacteria of the environment responsible for systemic infections in immunodepressed patients, due essentially to long-term corticosteroids.


METHODS
A patient having received corticosteroids for sarcoidoses for a year was hospitalised because of disseminated granulomatosis (neurological, respiratory, abdominal and cutaneous). Culture of various bacteriological samples isolated three species of Nocardia: N. otitidiscaviarum in uretheral pus and pus from the right gland, N. nova and N. asteroides in respiratory samples (protected distal sampling and broncho-alveolar washing).


CONCLUSIONS
Other than the mixed Nocardia infections described habitually, infections with two different species of Nocardia have recently been reported. Our case report is the first to have isolated three concomitant species of Nocardia.
Hidri
N
N
Service de Microbiologie, Hôpital Louis Mourier, 178 rue des Renouillers, 92701 Colombes, France.
Roué
C
C
Bruneau
B
B
Mal
H
H
Sleiman
C
C
Lambert-Zechovsky
N
N
Boiron
P
P
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D004334:Drug Administration Schedule; D006801:Humans; D008297:Male; D009615:Nocardia / Q000302:isolation & purification* / Q000472:pathogenicity; D009617:Nocardia Infections / Q000188:drug therapy*; D012507:Sarcoidosis / Q000188:drug therapy
D000305:Adrenal Cortex Hormones