An intrarenal abscess as presenting symptom of an infection with Nocardia farcinica in a patient after renal transplantation.
A 52-year-old man presented 8 months after transplantation with an intrarenal mass, which proved to be caused by an infection with Nocardia farcinica. Because of the potential fatal course of nocardiosis, transplantectomy was performed and long-term antibiotic treatment was instituted. Three-and-a-half years later, this patient underwent successful re-transplantation under co-trimoxazole prophylaxis. At present, more than 1 year after his second transplant has been performed, there are no signs of recurrence of Nocardia infection. To our knowledge, this is the first report of a patient with nocardiosis with an intrarenal abscess as presenting symptom.
Van Luin
A
A
Department of Nephrology, University Medical Centre Groningen, Groningen, The Netherlands.
Manson
W L
WL
van der Molen
L
L
van der Heide
J J Homan
JJ
van Son
W J
WJ
D000038:Abscess / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000209:etiology*