Pulmonary nocardiosis in a 3-year-old child

Holdaway, M. D.; Kennedy, J. D.; Ashcroft, T; Kay-Butler, J. J.

doi:10.1136/thx.22.4.375

Cited by 7 publications

(1 citation statement)

References 10 publications

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“…There are few documented cases of pulmonary nocardiosis affecting adult immunocompetent patients,7–9 and they are mostly associated with pulmonary chronic disease (such as bronchiectasis, chronic obstructive pulmonary disease or asthma) 10–13. There are also reports of previously healthy children having nocardiosis associated with pneumonia and pleural effusion, central nervous system infection and septic arthritis 14–17…”

Section: Discussionmentioning

confidence: 99%

Nocardialung abscess in an immunocompetent adolescent

Soares¹,

Reis-Melo

Ferraz

et al. 2019

BMJ Case Rep

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The authors report a case of a lung abscess caused by Nocardia sp. in a previously healthy adolescent. A 17-year-old young man presented with tonsillitis that did not respond to β-lactamic antibiotic, dyspnoea and thoracic pain. The X-ray revealed a cavitation in the right pulmonary upper lobe. He was admitted and completed a 14-day empirical antimicrobial therapy for a pulmonar abscess, although no clinical recovery was observed. He then underwent pulmonary biopsy of the lesion and PCR analysis of the collected pulmonary tissue, which revealed the presence of Nocardia. This case emphasises the importance of considering nocardiosis in the differential diagnosis of a lung abscess, particularly if no response to empirical therapy is obtained.

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Section: Discussionmentioning

confidence: 99%