Pleuropulmonary nocardiosis due to Nocardia otitidiscaviarum in a debilitated host

Nocardia otitidiscaviarum is a rare cause of pulmonary nocardiosis. We present a case of pulmonary nocardiosis with pleural involvement in an adolescent with rheumatic heart disease and congestive cardiac failure presenting with right lower lobe consolidation and pleural effusion. Direct gram-stain...

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Bibliographic Details
Published inIndian journal of pathology & microbiology Vol. 59; no. 2; pp. 240 - 242
Main Authors Deepa, R, Banu, S, Jayalakshmi, G, Parveen, J
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow Publications 01.04.2016
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
Actinomycetales infections
Care and treatment
Case studies
Debilitated host, Nocardia otitidiscaviarum, pleuropulmonary nocardiosis
Diagnosis
Lung diseases
Nocardia
Debilitated host
pleuropulmonary nocardiosis
Nocardia otitidiscaviarum
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Summary:Nocardia otitidiscaviarum is a rare cause of pulmonary nocardiosis. We present a case of pulmonary nocardiosis with pleural involvement in an adolescent with rheumatic heart disease and congestive cardiac failure presenting with right lower lobe consolidation and pleural effusion. Direct gram-stain of pleural fluid showed pus cells with Gram-positive filamentous branching bacilli. Empiric treatment with parenteral ceftriaxone and supportive therapy for cardiac failure was initiated. Pleural fluid culture yielded growth of N. otitidiscaviarum at 72 h. Antibiotic susceptibility testing showed resistance to cephalosporins. The patient expired due to congestive cardiac failure on the 5th day.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0377-4929
0974-5130
DOI:10.4103/0377-4929.182011