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Case Report

A Case of Pulmonary Nocardiosis Presenting with Multiple Cavitary Nodules in a Patient with Thrombocytopenia

by
Fei Wang
1,
Qing Yu
1,
Jinye Zhu
2 and
Chengli Que
1,*
1
Department of Respiratory and Critical Care Medicine, Peking University First Hospital, 8 Xishiku Street, Beijing 100034, China
2
Department of Hematology, Peking University First Hospital, 8 Xishiku Street, Beijing 100034, China
*
Author to whom correspondence should be addressed.
Reports 2022, 5(2), 19; https://doi.org/10.3390/reports5020019
Submission received: 17 April 2022 / Revised: 25 May 2022 / Accepted: 25 May 2022 / Published: 29 May 2022
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Abstract

Nocardiosis is an infrequent opportunistic infection that deserves more attention because of its increasing morbidity and high rate of misdiagnosis. Clinical and radiological manifestations as well as antibiograms of pulmonary nocardiosis are diverse. Herein, we report a patient with idiopathic thrombocytopenia treated with glucocorticoids, which later presented with severe pulmonary infection with widely distributed nodules on chest computed tomography. Fungal infection or tuberculosis was under initial suspicion and microbiological tests of bronchoalveolar lavage fluid eventually yielded an affirmative result of Nocardia cyriacigeorgica. The patient responded in the beginning; however, therapeutic strategies had to be altered several times due to adverse events. The patient eventually ended up with radiographic resolution at the end of six months. We wish to share some experience in dealing with this disease especially recognizing pulmonary nocardiosis in computed tomography imaging.
Keywords: nocardiosis; immunocompromised; radiological features; antimicrobial treatment nocardiosis; immunocompromised; radiological features; antimicrobial treatment

Share and Cite

MDPI and ACS Style

Wang, F.; Yu, Q.; Zhu, J.; Que, C. A Case of Pulmonary Nocardiosis Presenting with Multiple Cavitary Nodules in a Patient with Thrombocytopenia. Reports 2022, 5, 19. https://doi.org/10.3390/reports5020019

AMA Style

Wang F, Yu Q, Zhu J, Que C. A Case of Pulmonary Nocardiosis Presenting with Multiple Cavitary Nodules in a Patient with Thrombocytopenia. Reports. 2022; 5(2):19. https://doi.org/10.3390/reports5020019

Chicago/Turabian Style

Wang, Fei, Qing Yu, Jinye Zhu, and Chengli Que. 2022. "A Case of Pulmonary Nocardiosis Presenting with Multiple Cavitary Nodules in a Patient with Thrombocytopenia" Reports 5, no. 2: 19. https://doi.org/10.3390/reports5020019

APA Style

Wang, F., Yu, Q., Zhu, J., & Que, C. (2022). A Case of Pulmonary Nocardiosis Presenting with Multiple Cavitary Nodules in a Patient with Thrombocytopenia. Reports, 5(2), 19. https://doi.org/10.3390/reports5020019

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