Disseminated nocardiosis with psoas abscess in a patient with AIDS: first reported case

Corti, Marcelo; Solari, Hernán G.; Carolis, Luis De; Cangelos, Diana; Bianchi, Marco; Ricardo, Negroni

doi:10.1590/s0036-46652008000200014

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…A total of 10 reported cases (including our case) of muscular nocardial abscesses were found in the literature (Borget et al, 1992;Stamenkovic & Madden, 2001;Mousa, 2003;Smit et al, 2003;Malani et al, 2006;Agterof et al, 2007;Chatelus et al, 2007;Corti et al, 2008;Marchan et al, 2009) and the details are shown in Table 1. Deepseated soft tissue infection can occur by local traumatic inoculation or by haematogenous dissemination.…”

Section: Discussionmentioning

confidence: 96%

Disseminated Nocardia farcinica infection in a patient with systemic lupus erythematosus

Hara

Wakui

Ochiai

2011

Journal of Medical Microbiology

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Here, we describe a patient with disseminated systemic nocardiosis. He had a history of systemic lupus erythematosus and had received oral prednisolone for 7 months. Nocardia farcinica was isolated from the pus. There were neither clinical nor radiologic features of pulmonary nocardiosis. The patient was treated with oral trimethoprim/sulfamethoxazole, intravenous imipenem and surgical drainage with a good clinical response, and there has been no recurrence of the infection.

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Section: Discussionmentioning

confidence: 96%

Disseminated Nocardia farcinica infection in a patient with systemic lupus erythematosus

Hara

Wakui

Ochiai

2011

Journal of Medical Microbiology

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“…Intramuscular nocardial abscesses are a rare manifestation with no well-described characteristic symptoms 5 . An extensive literature review yielded only 20 cases, with 9 abscesses in the thigh 4,5,21-24 , 6 in the iliopsoas muscle 5,7,9,21,25,26 , 2 in the calf muscles 27 , 1 in the gluteal muscles 5 , 1 in the lower abdominal wall musculature 21 , and 1 in the deltoid muscle 21 . Clearly, Nocardia has a predilection for lower extremity and hip flexor musculature.…”

Section: Discussionmentioning

confidence: 99%

“…Clearly, Nocardia has a predilection for lower extremity and hip flexor musculature. Ten cases were primary to the muscle 4,5,21-23,26,27 , and 10 were disseminated from elsewhere 5,7,9,21,24,25,27 , mostly pulmonary origins. Seventeen patients survived their infections 4,5,7,9,21-27 , whereas 2 died 5,27 and 1 outcome was not provided 5 .…”

Section: Discussionmentioning

confidence: 99%

Disseminated Nocardiosis Masquerading as Soft-Tissue Malignancy

Wuthrich

Freeman

Lencioni

et al. 2021

JBJS Case Connector

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Case: A 59-year-old man, immunosuppressed after renal transplant, presented with a painful posterior thigh mass concerning for malignancy, as well as pulmonary and posterior chest wall nodules. Cultures and mass spectrometry identified Nocardia paucivorans. The patient underwent operative irrigation and debridement of the posterior thigh and chest wall, with 12 months of antibiotic therapy. Conclusion: A 2-week delay in appropriate treatment was due to low suspicion for infectious etiology. Since cultures generally take weeks for positive diagnosis, advanced molecular or biochemical methods should be used. This case demonstrates importance in maintaining a high index of suspicion for nocardiosis in immunocompromised patients with soft-tissue masses.

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“…Immunocompromised patients account for 50% of nocardiosis cases, mostly involving pulmonary, systemic and CNS infections. Although some cases have been reported in immunocompetent patients due to trauma or iatrogenic causes, the predominant predisposing factor is immunosuppresion induced by corticosteroid therapy, 2,6 heart transplantation, 7 chemotherapy 8 and AIDS 9 . Among them, steroid therapy is the leading risk factor for nocardiosis.…”

Section: Discussionmentioning

confidence: 99%

Case of muscle abscess due to disseminated nocardiosis in a patient with autoimmune hemolytic anemia, and review of the published work

Ukai¹,

Fujimoto²,

Fujii³

et al. 2011

The Journal of Dermatology

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Although disseminated nocardiosis has been increasing with the expansion of immunosuppressive therapy and improvement in diagnostic methods, muscle abscess is a rare complication. There have been only nine case reports of muscle abscess due to Nocardia infection in the English-language published work. We present a case of muscle abscess with disseminated nocardiosis, and review the published work. The patient had been taking prednisolone at 20 mg a day for autoimmune hemolytic anemia for 14 years. She presented with erythema on her thigh resembling cellulitis. Computed tomography showed muscle abscess. The isolated organism was identified as Nocardia farcinica employing polymerase chain reaction and antibiotic sensitivity testing. The diagnosis of muscle abscess due to nocardiosis can be easily missed because there are no characteristic symptoms.

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Disseminated nocardiosis with psoas abscess in a patient with AIDS: first reported case

Cited by 7 publications

References 10 publications

Disseminated Nocardia farcinica infection in a patient with systemic lupus erythematosus

Disseminated Nocardia farcinica infection in a patient with systemic lupus erythematosus

Disseminated Nocardiosis Masquerading as Soft-Tissue Malignancy

Case of muscle abscess due to disseminated nocardiosis in a patient with autoimmune hemolytic anemia, and review of the published work

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