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Erschienen in: Wiener Medizinische Wochenschrift 1-2/2013

01.01.2013 | case report

Blood culture positive Nocardia asteroides infection: a case report

verfasst von: Wolfgang Höpler, Hermann Laferl, Marton Szell, Peter Pongratz, Irmgard Brandl, Gerhard Tucek, Christoph Wenisch

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 1-2/2013

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Summary

We report a case of nocardiosis in a patient with several risk factors for this rare infection. Radiologically, the patient’s multiple lung abscesses were misinterpreted as pulmonary metastases. Diagnosis was finally reached by the growth of Nocardia asteroides in two different blood culture sets. Nocardia bacteraemia is a rare clinical event. Despite initiation of an effective antibiotic therapy, the patient died. Autopsy revealed disseminated nocardial abscesses in the lungs, the kidneys and the brain.
Literatur
1.
Zurück zum Zitat Esteban J, Ramos JM, Fernandez-Guerrero ML, et al. Isolation of Nocardia sp. from blood cultures in a teaching hospital. Scand J Infect Dis. 1994;26(6):693–6.PubMedCrossRef Esteban J, Ramos JM, Fernandez-Guerrero ML, et al. Isolation of Nocardia sp. from blood cultures in a teaching hospital. Scand J Infect Dis. 1994;26(6):693–6.PubMedCrossRef
2.
Zurück zum Zitat Kontoyiannis DP, Ruoff K, Hooper DC. Nocardia bacteremia. Report of 4 cases and review of the literature. Medicine (Baltimore). 1998;77(4):255–67.PubMedCrossRef Kontoyiannis DP, Ruoff K, Hooper DC. Nocardia bacteremia. Report of 4 cases and review of the literature. Medicine (Baltimore). 1998;77(4):255–67.PubMedCrossRef
3.
Zurück zum Zitat Al Akhrass F, Hachem R, Mohamed JA, et al. Central venous catheter-associated Nocardia bacteremia in cancer patients. Emerg Infect Dis. 2011;17(9):1651–8.PubMedCrossRef Al Akhrass F, Hachem R, Mohamed JA, et al. Central venous catheter-associated Nocardia bacteremia in cancer patients. Emerg Infect Dis. 2011;17(9):1651–8.PubMedCrossRef
4.
Zurück zum Zitat Saubolle MA, Sussland D. Nocardiosis: review of clinical and laboratory experience. J Clin Microbiol. 2003;41(10):4497–501.PubMedCrossRef Saubolle MA, Sussland D. Nocardiosis: review of clinical and laboratory experience. J Clin Microbiol. 2003;41(10):4497–501.PubMedCrossRef
6.
Zurück zum Zitat Minero MV, Marín M, Cercenado E, et al. Nocardiosis at the turn of the century. Medicine (Baltimore). 2009;88(4):250–61.PubMedCrossRef Minero MV, Marín M, Cercenado E, et al. Nocardiosis at the turn of the century. Medicine (Baltimore). 2009;88(4):250–61.PubMedCrossRef
7.
Zurück zum Zitat Martínez Tomás R, Menéndez Villanueva R, Reyes Calzada S, et al. Pulmonary nocardiosis: risk factors and outcomes. Respirology. 2007;12(3):394–400.PubMedCrossRef Martínez Tomás R, Menéndez Villanueva R, Reyes Calzada S, et al. Pulmonary nocardiosis: risk factors and outcomes. Respirology. 2007;12(3):394–400.PubMedCrossRef
8.
Zurück zum Zitat Beaman BL, Beaman L. Nocardia species: host-parasite relationships. Clin Microbiol Rev. 1994;7(2):213–64.PubMed Beaman BL, Beaman L. Nocardia species: host-parasite relationships. Clin Microbiol Rev. 1994;7(2):213–64.PubMed
9.
Zurück zum Zitat Al Soub H, Almaslamani M, Al Khuwaiter J, et al. Primary Nocardia meningitis in a patient without a predisposing condition: case report and review of the literature. Scand J Infect Dis. 2007;39(8):737–41.PubMedCrossRef Al Soub H, Almaslamani M, Al Khuwaiter J, et al. Primary Nocardia meningitis in a patient without a predisposing condition: case report and review of the literature. Scand J Infect Dis. 2007;39(8):737–41.PubMedCrossRef
10.
Zurück zum Zitat Hardak E, Yigla M, Berger G, et al. Clinical spectrum and outcome of Nocardia infection: experience of 15-year period from a single tertiary medical center. Am J Med Sci. 2012;343(4):286–90.PubMedCrossRef Hardak E, Yigla M, Berger G, et al. Clinical spectrum and outcome of Nocardia infection: experience of 15-year period from a single tertiary medical center. Am J Med Sci. 2012;343(4):286–90.PubMedCrossRef
11.
Zurück zum Zitat Tanioka K, Nagao M, Yamamoto M, et al. Disseminated Nocardia farcinica infection in a patient with myasthenia gravis successfully treated by linezolid: a case report and literature review. J Infect Chemother. 2012;18(3):390–4.PubMedCrossRef Tanioka K, Nagao M, Yamamoto M, et al. Disseminated Nocardia farcinica infection in a patient with myasthenia gravis successfully treated by linezolid: a case report and literature review. J Infect Chemother. 2012;18(3):390–4.PubMedCrossRef
12.
Zurück zum Zitat Freeman AF, Marciano BE, Anderson VL, et al. Corticosteroids in the treatment of severe nocardia pneumonia in chronic granulomatous disease. Pediatr Infect Dis J. 2011;30(9):806–8.PubMedCrossRef Freeman AF, Marciano BE, Anderson VL, et al. Corticosteroids in the treatment of severe nocardia pneumonia in chronic granulomatous disease. Pediatr Infect Dis J. 2011;30(9):806–8.PubMedCrossRef
Metadaten
Titel
Blood culture positive Nocardia asteroides infection: a case report
verfasst von
Wolfgang Höpler
Hermann Laferl
Marton Szell
Peter Pongratz
Irmgard Brandl
Gerhard Tucek
Christoph Wenisch
Publikationsdatum
01.01.2013
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 1-2/2013
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-012-0156-2

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