A case of disseminated infection with Nocardia brasiliensis in a lung transplant recipient.
BACKGROUND: Infection with Nocardia species is an increasingly recognized complication of solid organ transplantation. Nocardia asteroides accounts for most transplant-related nocardiosis, while Nocardia brasiliensis rarely causes infection in organ transplant recipients. METHODS: We describe a case of disseminated infection with N brasiliensis in a single-lung transplant recipient who also had concomitant infections with viral and fungal organisms. RESULTS: Although the mortality rate is high in immunocompromised patients with disseminated Nocardia infection, our patient responded favorably to prolonged antimicrobial therapy. CONCLUSIONS: This case illustrates that N brasiliensis, like N asteroides, produces pulmonary disease and dissemination in solid organ transplant recipients, and demonstrates the utility of prolonged treatment with trimethoprim-sulfamethoxazole in Nocardia infections.
Duke Scholars
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Related Subject Headings
- Trimethoprim
- Surgery
- Sulfamethoxazole
- Radionuclide Imaging
- Nocardia Infections
- Middle Aged
- Lung Transplantation
- Lung Diseases
- Lung
- Humans
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Trimethoprim
- Surgery
- Sulfamethoxazole
- Radionuclide Imaging
- Nocardia Infections
- Middle Aged
- Lung Transplantation
- Lung Diseases
- Lung
- Humans