title: Nocardiosis in adult-onset Still's disease and vasculitis syndrome.
abstract: Four cases of nocardiosis in patients with adult-onset Still disease and vasculitis syndrome are presented. Three patients developed lung abscesses and 1 case developed a brain abscess. All were treated with high-dose corticosteroids, and 3 were given cyclosporine when they developed nocardiosis. All patients were successfully treated with antibiotics; cyclosporine was discontinued in 2 cases. These cases indicate that systemic nocardiosis can develop in patients with various rheumatologic diseases who are treated with corticosteroid and immunosuppressive drugs such as cyclosporine.
authors.affiliation: Department of Internal Medicine, Saga Medical School, Saga, Japan. taday@cc.saga-u.ac.jp
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Tada
authors.forename: Mami
authors.initials: M
authors.lastname: Fukuoka
authors.forename: Mio
authors.initials: M
authors.lastname: Mitamura
authors.forename: Shuichi
authors.initials: S
authors.lastname: Koarada
authors.forename: Rie
authors.initials: R
authors.lastname: Suematsu
authors.forename: Hisako
authors.initials: H
authors.lastname: Inoue
authors.forename: Akihide
authors.initials: A
authors.lastname: Ohta
authors.forename: Kohei
authors.initials: K
authors.lastname: Nagasawa
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000328:Adult; D000368:Aged; D001922:Brain Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D016572:Cyclosporine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008169:Lung Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D009617:Nocardia Infections / Q000150:complications*; D016706:Still's Disease, Adult-Onset / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014657:Vasculitis / Q000150:complications*
chemical_list: D000305:Adrenal Cortex Hormones; D016572:Cyclosporine