Pulmonary nocardiosis in the acquired immunodeficiency syndrome, computed tomographic findings: a case report.
The authors describe a case of pulmonary nocardiosis in a 37-year-old man with acquired immunodeficiency syndrome in treatment with antiretroviral drugs. Clinical symptoms were productive cough, hemoptysis and progressive weight loss. A chest x-ray showed a right upper lobe consolidation while the computed tomography demonstrated consolidation with air bronchogram and airspace nodules. The radiologic findings were unspecific. Consequently, a bronchoscopy with bronchoalveolar lavage was performed, revealing filamentous Gram-positive bacteria (Nocardia species). Treatment with trimethoprim-sulfamethoxazole resulted in complete remission of the respiratory symptoms.
Sarcinelli-Luz
Branca
B
Department of Radiology, Faculty of Medicine, Fluminense Federal University Rua Marquês do Paraná. Niterói. Rio de Janeiro Brazil. brancaluz@gmail.com
Marchiori
Edson
E
Zanetti
Gláucia
G
Mano
Claudia Mauro
CM
Abdalla
Flávia
F
Carvalho
Juliana França
JF
Assed
Carla
C
Santos
Isabella Guedes
IG