title: Blood culture positive Nocardia asteroides infection: a case report.
abstract: We report a case of nocardiosis in a patient with several risk factors for this rare infection. Radiologically, the patient's multiple lung abscesses were misinterpreted as pulmonary metastases. Diagnosis was finally reached by the growth of Nocardia asteroides in two different blood culture sets. Nocardia bacteraemia is a rare clinical event. Despite initiation of an effective antibiotic therapy, the patient died. Autopsy revealed disseminated nocardial abscesses in the lungs, the kidneys and the brain.
authors.affiliation: Department of Internal Medicine 4 with Infectious Diseases and Tropical Medicine, Kaiser Franz Josef Hospital, Kundratstrasse 3, 1100, Vienna, Austria, w.hoepler@gmx.at
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Höpler
authors.forename: Hermann
authors.initials: H
authors.lastname: Laferl
authors.forename: Marton
authors.initials: M
authors.lastname: Szell
authors.forename: Peter
authors.initials: P
authors.lastname: Pongratz
authors.forename: Irmgard
authors.initials: I
authors.lastname: Brandl
authors.forename: Gerhard
authors.initials: G
authors.lastname: Tucek
authors.forename: Christoph
authors.initials: C
authors.lastname: Wenisch
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D001922:Brain Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D007822:Laryngeal Neoplasms / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D008168:Lung / Q000473:pathology; D008169:Lung Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D009616:Nocardia asteroides; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents