Disseminated Nocardia farcinica infection presenting as a paravertebral abscess in a patient with systemic lupus erythematosus

• Published in: Indian journal of pathology & microbiology Vol. 62; no. 2; pp. 329 - 331
• Main Authors: Özen, Yeliz, Dokuzoguz, Basak, Mumcuoglu, Ipek, Çelikbas, Aysel, Karahan, Zeynep, Özbay, Bahadir
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.04.2019; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer Medknow Publications
• Subjects: Abscess - drug therapy; Abscess - microbiology; Actinomycetales infections; Alcoholism; Anti-Bacterial Agents - therapeutic use; Anti-Infective Agents - therapeutic use; Antibiotics; Back pain; Bacteria; Blood; CAT scans; Central nervous system; Chronic conditions; Consent; Corticosteroid drugs; Diabetes; Diabetes mellitus; Diabetes therapy; Glucocorticoids; Gram-positive bacteria; Granulomatous; Humans; Imipenem; Immunocompromised Host; Infection; Infections; Lung diseases; Lupus; Lupus erythematosus; Lupus Erythematosus, Systemic - complications; Lupus Erythematosus, Systemic - microbiology; Magnetic resonance imaging; Male; NMR; Nocardia; Nocardia - isolation & purification; Nocardia - pathogenicity; Nocardia farcinica; Nocardia Infections - diagnosis; Nocardia Infections - drug therapy; nocardiosis; Nuclear magnetic resonance; Organ transplantation; paravertebral abscess; Respiratory tract diseases; Skin; Skin - microbiology; Skin - pathology; Steroids (Organic compounds); Sulbactam; Surgery; Systemic lupus erythematosus; Tazobactam; Thorax - diagnostic imaging; Tomography, X-Ray Computed; Transplants & implants; Treatment Outcome; Young Adult; Granulomatous; nocardiosis; Nocardia farcinica; paravertebral abscess
• ISSN: 0377-4929; 0974-5130
• DOI: 10.4103/IJPM.IJPM_178_17

Disseminated Nocardia infections occur particularly in immunosuppressed hosts and are most often due to Nocardia farcinica, Nocardia nova, and Nocardia cyriacigeorgica. Here, we report an unusual case of disseminated N. farcinica infection presenting as a paravertebral abscess in a patient with systemic lupus erythematosus.