title: [Thoracic nocardiosis - a clinical report].
abstract: Nocardia genus microorganisms are ubiquitous, Gram positive aerobic bacterias, responsible for disease mainly in immunocompromised hosts, with cellular immune response commitment. Inhalation is the main form of transmition and pulmonary disease is the most frequent presentation. Dissemination may occur by contiguity and also via hematogenous. The clinical and imaging presentation is not specific, and diagnosis is obtained after identification of Nocardia bacteria in biological samples. Since there are no reliable studies that indicate the best therapeutic option, treatment should be individualized and based on antimicrobial susceptibility testing. Surgical drainage should also be considered in all patients. The authors present a clinical case of a patient with thoracic nocardiosis, and make a short literature review on the theme.
authors.affiliation: Serviço de Pneumologia do Centro Hospitalar de Trás-os-Montes e Alto Douro e Serviços de Cirurgia Cardiotorácica e de Microbiologia do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
authors.forename: Artur
authors.initials: A
authors.lastname: Vale
authors.forename: Miguel
authors.initials: M
authors.lastname: Guerra
authors.forename: Daniel
authors.initials: D
authors.lastname: Martins
authors.forename: Angelina
authors.initials: A
authors.lastname: Lameiras
authors.forename: José
authors.initials: J
authors.lastname: Miranda
authors.forename: Luís
authors.initials: L
authors.lastname: Vouga
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy; D016724:Empyema, Pleural / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000000981:diagnostic imaging / Q000188:drug therapy; D011859:Radiography; D035441:Thoracic Wall