title: Abscess of adrenal gland caused by disseminated subacute Nocardia farcinica pneumonia. A case report and mini-review of the literature.
abstract: BACKGROUND
  Infections caused by Nocardia farcinica are uncommon and show a great variety of clinical manifestations in immunocompetent and immunocompromised patients. Because of its unspecific symptoms and tendency to disseminate it may mimic the clinical symptoms and radiologic findings of a tumour disease and the diagnosis of nocardiosis can easily be missed, because there are no characteristic symptoms.
  
  
  METHODS
  We present a case of an adrenal gland abscess caused by subacute disseminated N. farcinica pneumonia.
  
  
  CONCLUSIONS
  An infection with N. farcinica is potentially lethal because of its tendency to disseminate -particularly in the brain- and its high resistance to antibiotics. Awareness of this differential diagnosis allows early and appropriate treatment to be administered.
authors: Department of General-, Visceral- and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Germany. mtachezy@uke.uni-hamburg.de
authors: Michael
authors: M
authors: Tachezy
authors: Philipp
authors: P
authors: Simon
authors: Corina
authors: C
authors: Ilchmann
authors: Yogesh K
authors: YK
authors: Vashist
authors: Jakob R
authors: JR
authors: Izbicki
authors: Karim A
authors: KA
authors: Gawad
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000382:microbiology; D000311:Adrenal Glands / Q000382:microbiology / Q000473:pathology*; D000368:Aged; D005260:Female; D006801:Humans; D009615:Nocardia; D009617:Nocardia Infections / Q000150:complications* / Q000473:pathology; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000382:microbiology / Q000473:pathology