Pulmonary nocardiosis in a patient with chronic obstructive pulmonary disease and bronchiectasis.
We report the case of a patient with chronic obstructive pulmonary disease and bronchiectasis, chronically using corticosteroids, who acquired pulmonary nocardiosis, which presented as multiple cavitated nodules. The principal symptoms were fever, dyspnea and productive cough with purulent sputum. Chest X-ray and computed tomography of the chest revealed nodules, some of which were cavitated, in both lungs. Sputum smear microscopy and culture revealed the presence of Nocardia spp. The patient was treated with imipenem and cilastatin, which produced an excellent clinical response.
Aidê
Miguel Abidon
MA
Universidade Federal Fluminense, Niterói, RJ, Brasil. miguelaide@uol.com.br
Lourenço
Silvia Soares
SS
Marchiori
Edson
E
Zanetti
Gláucia
G
Mondino
Pedro Juan José
PJ
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000369:Aged, 80 and over; D001987:Bronchiectasis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D009617:Nocardia Infections / Q000150:complications / Q000473:pathology*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000188:drug therapy; D013183:Sputum / Q000382:microbiology
D000305:Adrenal Cortex Hormones