title: Pulmonary infiltrate and painful nodular leg lesions in a patient with membranous glomerulonephritis.
abstract: Nocardia otitidis-cavarium is rarely isolated as an infectious pathogen in the western world. We report on a 71-year-old Caucasian man with membranous glomerulonephritis who presented with several seemingly unrelated clinical symptoms that, after laborious diagnostics, turned out to be caused by disseminated infection with N. otitidis-cavarium. This case highlights the variable clinical presentations that can occur in nocardial infections and underscores the need to search for rare pathogens in patients taking immunosuppressive medication.
authors.affiliation: Department of Medicine, Renal Division, University Medical Center Freiburg, Freiburg, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Grahammer
authors.affiliation: Department of Medicine, Renal Division, University Medical Center Freiburg, Freiburg, Germany.
authors.forename: Karl-Georg
authors.initials: KG
authors.lastname: Fischer
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D015433:Glomerulonephritis, Membranous / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007868:Leg Dermatoses / Q000382:microbiology*; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D008297:Male; D008271:Mycetoma / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D009615:Nocardia; D011014:Pneumonia / Q000000981:diagnostic imaging / Q000382:microbiology*; D011859:Radiography
chemical_list: D000935:Antifungal Agents; D007166:Immunosuppressive Agents