Pulmonary nocardiosis re-visited: experience of 35 patients at diagnosis
Pulmonary infection by Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two tertiary referral hospitals. A retrospective review of the patient characteristics, clinical and laboratory features including antimicrobial suscep...
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| Published in | Respiratory medicine Vol. 97; no. 6; pp. 709 - 717 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford
Elsevier Ltd
01.06.2003
Elsevier Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Pulmonary infection by
Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two tertiary referral hospitals. A retrospective review of the patient characteristics, clinical and laboratory features including antimicrobial susceptibility at diagnosis was carried out. Radiological features derived from chest radiographs and CT scans were also documented. In our population, the predominant risk factors were immuno-compromised state, corticosteroid therapy, and underlying pulmonary pathology. The presenting features were similar to those previously described but disseminated infection was not common. The radiological changes were diverse and non-specific.
Nocardia asteroides was the commonest species. Most
Nocardia isolates were susceptible to imipenem, ceftriaxone, amikacin, and cotrimoxazole. Co-existing microbial agents are common and reflect the underlying complex disorders. |
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| AbstractList | Pulmonary infection by
Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two tertiary referral hospitals. A retrospective review of the patient characteristics, clinical and laboratory features including antimicrobial susceptibility at diagnosis was carried out. Radiological features derived from chest radiographs and CT scans were also documented. In our population, the predominant risk factors were immuno-compromised state, corticosteroid therapy, and underlying pulmonary pathology. The presenting features were similar to those previously described but disseminated infection was not common. The radiological changes were diverse and non-specific.
Nocardia asteroides was the commonest species. Most
Nocardia isolates were susceptible to imipenem, ceftriaxone, amikacin, and cotrimoxazole. Co-existing microbial agents are common and reflect the underlying complex disorders. Pulmonary infection by Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two tertiary referral hospitals. A retrospective review of the patient characteristics, clinical and laboratory features including antimicrobial susceptibility at diagnosis was carried out. Radiological features derived from chest radiographs and CT scans were also documented. In our population, the predominant risk factors were immuno-compromised state, corticosteroid therapy, and underlying pulmonary pathology. The presenting features were similar to those previously described but disseminated infection was not common. The radiological changes were diverse and non-specific.Nocardia asteroides was the commonest species. Most Nocardia isolates were susceptible to imipenem, ceftriaxone, amikacin, and cotrimoxazole. Co-existing microbial agents are common and reflect the underlying complex disorders. |
| Author | HUI, C.H. AU, V.W.K. ROWLAND, K. SLAVOTINEK, J.P. GORDON, D.L. |
| Author_xml | – sequence: 1 givenname: C.H. surname: HUI fullname: HUI, C.H. organization: Division of Haematology, Institute of Medical&Veterinary Science, Frome Road, Adelaide, SA 5000, Australia – sequence: 2 givenname: V.W.K. surname: AU fullname: AU, V.W.K. organization: Division of Medical Imaging, Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia – sequence: 3 givenname: K. surname: ROWLAND fullname: ROWLAND, K. organization: Infectious Diseases Unit, Royal Adelaide Hospital, Institute of Medical & Veterinary Science, Frome Road, Adelaide, SA 5000, Australia – sequence: 4 givenname: J.P. surname: SLAVOTINEK fullname: SLAVOTINEK, J.P. organization: Division of Medical Imaging, Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia – sequence: 5 givenname: D.L. surname: GORDON fullname: GORDON, D.L. organization: Department of Microbiology & Infectious Diseases, Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia |
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| Keywords | pulmonary nocardiosis Human Lung disease Diagnosis Pulmonary nocardiosis Respiratory disease Pneumology |
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Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two... Pulmonary infection by Nocardia is an uncommon opportunistic infection in humans. Thirty-five patients with pulmonary nocardiosis were identified in two... |
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| SubjectTerms | Adult Aged Aged, 80 and over Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Female Human bacterial diseases Humans Infectious diseases Lung Diseases - complications Lung Diseases - diagnostic imaging Lung Diseases - microbiology Male Medical sciences Middle Aged Nocardia Infections - complications Nocardia Infections - diagnostic imaging Nocardia Infections - microbiology Opportunistic Infections - complications Opportunistic Infections - diagnostic imaging Opportunistic Infections - microbiology Pneumology Prognosis pulmonary nocardiosis Retrospective Studies Tomography, X-Ray Computed |
| Title | Pulmonary nocardiosis re-visited: experience of 35 patients at diagnosis |
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