[Pulmonary nocardiosis associated with the treatment of severe liver injury].
Nocardia infection is a fatal complication in compromised hosts and is often associated with a poor prognosis. Here we report the case of a 42-year-old man with acute liver injury treated with steroids who developed pulmonary nocardiosis. Pulmonary computed tomography was performed followed by bronchoscopy, which confirmed the diagnosis of pulmonary nocardiosis. This facilitated expedient and successful treatment of the pulmonary infection. Computed tomography is a useful tool for screening respiratory tract infection in immunocompromised patients, such as those with acute liver injury.
Department of Gastroenterology, Chiba University School of Medicine Hospital.
Mutsumi
M
Yamato
Tatsuo
T
Kanda
Shin
S
Yasui
Masato
M
Nakamura
Tatsuo
T
Miyamura
Makoto
M
Arai
Hitoshi
H
Maruyama
Osamu
O
Yokosuka
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000009:adverse effects* / Q000627:therapeutic use*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004198:Disease Susceptibility / Q000139:chemically induced*; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D008107:Liver Diseases / Q000150:complications* / Q000188:drug therapy*; D008297:Male; D009617:Nocardia Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D009894:Opportunistic Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013902:Radiography, Thoracic; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents