title: Pulmonary nocardiosis in a patient with chronic obstructive pulmonary disease and bronchiectasis.
abstract: 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.
authors.affiliation: Universidade Federal Fluminense, Niterói, RJ, Brasil. miguelaide@uol.com.br
authors.forename: Miguel Abidon
authors.initials: MA
authors.lastname: Aidê
authors.forename: Silvia Soares
authors.initials: SS
authors.lastname: Lourenço
authors.forename: Edson
authors.initials: E
authors.lastname: Marchiori
authors.forename: Gláucia
authors.initials: G
authors.lastname: Zanetti
authors.forename: Pedro Juan José
authors.initials: PJ
authors.lastname: Mondino
mesh_terms: 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
chemical_list: D000305:Adrenal Cortex Hormones