title: Infection caused by Nocardia farcinica mimicking pulmonary metastasis in an adolescent girl.
abstract: Nocardia farcinica infections are rare and potentially life threatening. Herein, we describe a case of pulmonary nocardiosis caused by N. farcinica. This 13-year-old girl admitted with 1-year history of cough, intermittent fever, and recurrent hemoptysis. She was examined for multiple pulmonary nodules mimicking pulmonary metastasis that were detected with chest radiography and computed tomography of the thorax. Eventually, N. farcinica was yielded in culture of sputum and aspiration material of pulmonary nodules. No predisposing factor could be shown for Nocardia infection. Although infections caused by N. farcinica have tendency to disseminate, and are mostly resistant to antibiotics, the patient was successfully treated with prolonged intravenous antibiotic therapy followed with oral amoxicillin-clavulanate.
authors.affiliation: Departments of Pediatric, and daggerMicrobiology, Dokuz Eylul University Hospital, Balcova, Izmir, Turkey. arbabayigit@yahoo.com
authors.forename: Arzu
authors.initials: A
authors.lastname: Babayigit
authors.forename: Duygu
authors.initials: D
authors.lastname: Olmez
authors.forename: Sule C
authors.initials: SC
authors.lastname: Sozmen
authors.forename: Balahan
authors.initials: B
authors.lastname: Makay
authors.forename: Nevin
authors.initials: N
authors.lastname: Uzuner
authors.forename: Ozkan
authors.initials: O
authors.lastname: Karaman
authors.forename: Ozden
authors.initials: O
authors.lastname: Anal
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Gulay
mesh_terms: D000293:Adolescent; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis; D055613:Multiple Pulmonary Nodules / Q000000981:diagnostic imaging / Q000382:microbiology*; D009615:Nocardia / Q000187:drug effects / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D013902:Radiography, Thoracic; D013183:Sputum / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D019980:Amoxicillin-Potassium Clavulanate Combination