Pyothorax Caused by Nocardia otitidiscaviarum in a Patient with Rheumatoid Vasculitis

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We report a case of pyothorax caused by <i>Nocardia (N.) otitidiscaviarum</i> infection in a 69-year-old man with rheumatoid vasculitis, who was regularly treated with prednisolone in our hospital. Initially, the patient responded poorly to intravenous imipenem/cilastatin (IPM/CS), minocyclin (MINO), and oral trimethoprim-sulfamethoxazole (TMP-SMX), but later improved after treatment with levofloxacin (LVFX) and gentamicin sulfate (GM) according to <i>in vitro</i> susceptibility tests. To our knowledge, this is the first description of pyothorax caused by <i>N. otitidiscaviarum</i> infection. It is a rare disease, but recognition of the disease in immunocompromised patients and the prompt initiation of appropriate treatments based on isolation of the pathogen and susceptibility testing can lead to a successful outcome.

収録刊行物

  • Internal medicine

    Internal medicine 43(7), 615-619, 2004-07-01

    The Japanese Society of Internal Medicine

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各種コード

  • NII論文ID(NAID)
    10013350157
  • NII書誌ID(NCID)
    AA10827774
  • 本文言語コード
    ENG
  • 資料種別
    NOT
  • ISSN
    09182918
  • NDL 記事登録ID
    7022526
  • NDL 雑誌分類
    ZS21(科学技術--医学--内科学)
  • NDL 請求記号
    Z53-M398
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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