Pulmonary Nocardiosis Caused by <i>Nocardia concava</i> with a Literature Review

• Hirayama Tatsuro

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan

• Takazono Takahiro

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan

• Horai Yoshiro

  First Department of Internal Medicine, Nagasaki University Hospital, Japan

• Tashiro Masato

  Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan Infection Control and Education Center, Nagasaki University Hospital, Japan

• Saijo Tomomi

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan

• Kosai Kosuke

  Department of Laboratory Medicine, Nagasaki University Hospital, Japan

• Morinaga Yoshitomo

  Department of Laboratory Medicine, Nagasaki University Hospital, Japan

• Kurihara Shintaro

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Infection Control and Education Center, Nagasaki University Hospital, Japan

• Nakamura Shigeki

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Chemotherapy and Mycoses, National Institute of Infectious Diseases, Japan

• Imamura Yoshifumi

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan

• Miyazaki Taiga

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan

• Tsukamoto Misuzu

  Infection Control and Education Center, Nagasaki University Hospital, Japan

• Izumikawa Koichi

  Department of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Japan Infection Control and Education Center, Nagasaki University Hospital, Japan

• Yanagihara Katsunori

  Department of Laboratory Medicine, Nagasaki University Hospital, Japan

• Kawakami Atsushi

  First Department of Internal Medicine, Nagasaki University Hospital, Japan

• Kohno Shigeru

  Second Department of Internal Medicine, Nagasaki University Hospital, Japan

Abstract

A 68-year-old man was admitted to our hospital with anorexia and leg pain. He was diagnosed with ANCA-associated vasculitis through a renal biopsy. Immunosuppression with two courses of steroid pulse therapies and intravenous cyclophosphamide followed by oral prednisolone at 40 mg/day were administered. About one month after starting the immunosuppression therapy, he complained of hemosputum. Chest computed tomography showed a cavitary lesion in the lung. Cultures from his sputum showed Nocardia species, and we were able to identify the species as N. concava using a 16S rRNA gene sequence analysis. Only three detailed reports of N. concava infection have so far been published worldwide.<br>

Journal

• Internal Medicine

  Internal Medicine 55 (9), 1213-1217, 2016

  The Japanese Society of Internal Medicine

Keywords

• <i>Nocardia concava</i>
• review
• pulmonary nocardiosis

Details

• CRID: 1390282679853456640
• NII Article ID: 130005149594
• DOI: 10.2169/internalmedicine.55.6228
• ISSN: 13497235
• ISSN: 09182918
• PubMed: 27150883
• Web Site: https://www.jstage.jst.go.jp/article/internalmedicine/55/9/55_55.6228/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2017037165
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed