title: Pulmonary nocardiosis in a patient with chronic obstructive pulmonary disease--case report and literature review.
abstract: Nocardiosis is an infrequent but potentially serious pulmonary infection that typically affects patients with immune suppression  or structural lung disease. We report a case of a 70-year-old patient with chronic obstructive pulmonary disease (COPD)  treated with inhaled steroids, theophylline, short-acting beta-agonists and anticholinergics, and long-term oxygen therapy,  who presented with non-resolving pneumonia. Following a diagnosis of nocardiosis, made based on sputum culture, the  patient was treated with trimethoprim/sulphamethoxazole and then, due to treatment side effects, with minocycline. We  review the literature data on nocardiosis in COPD patients.
authors.affiliation: Pulmonary and Sleep Medicine Consultant, Department of Internal Medicine, 4th Clinical Military Hospitalul. Weigla 5, 53–114 Wrocław.
authors.forename: Michael
authors.initials: M
authors.lastname: Anderson
authors.forename: Tomasz J
authors.initials: TJ
authors.lastname: Kuźniar
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001993:Bronchodilator Agents / Q000008:administration & dosage; D006801:Humans; D008297:Male; D009615:Nocardia / Q000302:isolation & purification; D009617:Nocardia Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D001993:Bronchodilator Agents