Pulmonary nocardiosis in a patient with idiopathic thrombocytopenic purpura.
We present a case of pulmonary nocardiosis in a patient suffering from idiopathic thrombocytopenic purpura (ITP), an autoimmune disorder in which platelets are immunologically destroyed. ITP corticosteroid therapy, as well as the patient's diabetes mellitus history caused immunosuppression, leading to an incidental lung infection by nocardia asteroides. The combination of pulmonary nocardiosis and ITP is, as far as we know, very rare.
Cokkinos
Demosthenes D
DD
Radiology Department, Athens Hippocration Hospital, 114 Vas. Sofias Ave, 11527 Athens, Greece. ddcokkinos@yahoo.gr
Spanou
Eleftheria
E
Giannou
Styliani
S
Protopapa
Elissavet
E
Kyriakou
Loukas
L
Mantzoukis
Dimosthenis
D
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D015377:Cilastatin / Q000008:administration & dosage; D000077728:Cilastatin, Imipenem Drug Combination; D048909:Diabetes Complications / Q000276:immunology*; D004338:Drug Combinations; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D007108:Immune Tolerance; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D009616:Nocardia asteroides; D018410:Pneumonia, Bacterial / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D011696:Purpura, Thrombocytopenic / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D015377:Cilastatin; D015378:Imipenem; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000077728:Cilastatin, Imipenem Drug Combination