title: [Pulmonary nocardiosis in a patient who was a chronic corticosteroid user].
abstract: Pulmonary nocardiosis is an infrequent and severe infection caused by Nocardia spp. These are microorganisms that may behave both as opportunists and as primary pathogens, and they may present as either acute or suppurative chronic disorders. We report on the case of a 49-year-old man with idiopathic thrombocytopenic purpura that was being treated with corticosteroids. He developed pulmonary infection due to Nocardia farcinica, which was isolated from blood cultures. Despite correct treatment with trimethoprim-sulfamethoxazole, the patient died three months after this therapy was instituted.
authors.affiliation: Serviço de Clínica Médica, Hospital Heliópolis, São Paulo, SP.
authors.forename: Renata Maria Ferreira
authors.initials: RM
authors.lastname: Brasileiro
authors.forename: André Carvalho Caribe de Araújo
authors.initials: AC
authors.lastname: Pinho
authors.forename: Catarine Silva
authors.initials: CS
authors.lastname: Medeiros
authors.forename: Francisco
authors.initials: F
authors.lastname: Ferri
authors.forename: Leonardo de Lucca
authors.initials: Lde L
authors.lastname: Schiavon
authors.forename: Janaína Luz
authors.initials: JL
authors.lastname: Narciso-Schiavon
authors.forename: Fernando Costa
authors.initials: FC
authors.lastname: Buzzoleti
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008171:Lung Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D011696:Purpura, Thrombocytopenic / Q000188:drug therapy; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use*
chemical_list: D000305:Adrenal Cortex Hormones; D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination