2017
DOI: 10.1002/rcr2.283
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Pulmonary nocardiosis in a patient with idiopathic CD4 T‐lymphocytopenia

Abstract: Idiopathic CD4 T‐lymphocytopenia (ICL) is a rare immunodeficiency characterized by low CD4 T‐lymphocyte count, which usually manifests with opportunistic infections. Nocardia as an opportunistic pathogen infecting patients with this condition has rarely been reported. Here, we describe the case of a 46‐year‐old male who presented with lung mass and respiratory and systemic symptoms and was eventually diagnosed with pulmonary nocardiosis. A workup for predisposing immunodeficiencies suggested a picture of ICL. … Show more

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Cited by 11 publications
(5 citation statements)
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“…infection is usually seen in these patients when CD4 + counts drop to 35 cells/µl (352). Consistently, two patients with CD4 + T cell lymphocytopenia that developed pulmonary and CNS nocardiosis have been reported (353,354). Similarly, dampened cellular immunity in patients treated with corticosteroids longterm also predisposes to nocardiosis (355).…”
Section: Treatment and Outcomesupporting
confidence: 56%
“…infection is usually seen in these patients when CD4 + counts drop to 35 cells/µl (352). Consistently, two patients with CD4 + T cell lymphocytopenia that developed pulmonary and CNS nocardiosis have been reported (353,354). Similarly, dampened cellular immunity in patients treated with corticosteroids longterm also predisposes to nocardiosis (355).…”
Section: Treatment and Outcomesupporting
confidence: 56%
“…Isolates from three genera, Candida, Trichophyton and Microsporum are known to cause infections and can be particularly problematic for immunocompromised individuals [51][52][53]. Most of the isolates that were identified, such as Nocardia, Rhodotorula, and Sporobolomyces, are generally safe, but may act as opportunistic pathogens in immunocompromised individuals [54][55][56]. Other isolates, such as Chlorociboria aeruginascens, Lycogala epidendrum, Chromelosporium fulva,…”
Section: Fungal Isolationmentioning
confidence: 99%
“…Isolates from three genera, Candida, Trichophyton and Microsporum are known to cause infections and can be particularly problematic for immunocompromised individuals [51][52][53]. Most of the isolates that were identified, such as Nocardia, Rhodotorula, and Sporobolomyces, are generally safe, but may act as opportunistic pathogens in immunocompromised individuals [54][55][56]. Other isolates, such as Chlorociboria aeruginascens, Lycogala epidendrum, Chromelosporium fulva,…”
Section: Fungal Isolationmentioning
confidence: 99%