title: [Case report of disseminated nocardiosis complicated in an elderly person with pneumoconiosis].
abstract: Nocardia is typically regarded as an opportunistic infection, with pulmonary nocardiosis frequently disseminated to organs hematogenous by, and nearly half of these cases resulting in complicated nocardia brain abscess. Disseminated nocardia has a dismal prognosis with high mortality, and should be checked for multiple organs including the brain when nocardiosis is diagnosed. We describe the successful treatment of nocardia brain abscesses in an immunocompetent older people with pneumoconiosis by combining trimethoprim-sulfamethoxazole and ciprofloxacin. Patients had no history of fever, headache, or respiratory symptoms such as cough, or sputum until the acute hemiplegia episode. Nocardia infection is not as rare as generally assumed and should be considered as a possibility in the elderly due to its high mortality.
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization Ureshino Medical Center.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Nakamura
authors.forename: Tomo
authors.initials: T
authors.lastname: Mihara
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hitotsumatsu
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Soejima
authors.forename: Koichi
authors.initials: K
authors.lastname: Izumikawa
authors.forename: Masafumi
authors.initials: M
authors.lastname: Seki
authors.forename: Hideaki
authors.initials: H
authors.lastname: Ohno
authors.forename: Katsunori
authors.initials: K
authors.lastname: Yanagihara
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Higashiyama
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hirakata
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Tashiro
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D009617:Nocardia Infections / Q000150:complications*; D011009:Pneumoconiosis / Q000150:complications*