Pulmonary Nocardiosis

Hye Kyung Yoon; Jung-Gi Im; Joong Mo Ahn; Man Chung Han

doi:10.1097/00004728-199501000-00010

January 1, 1995Journal of Computer Assisted Tomography

Pulmonary Nocardiosis

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Key Points

To evaluate computed tomography findings of pulmonary nocardiosis in immunocompromised and chronically debilitated patients.
Evaluated 5 patients with bacteriologically confirmed pulmonary Nocardia asteroides infection via chest radiography and computed tomography (CT), with follow-up CT in 1 patient.
Identified underlying predisposing conditions, including corticosteroid or immunosuppressive therapy for lupus nephritis (n=2), idiopathic thrombocytopenic purpura (n=1), renal transplantation (n=1), and long-standing diabetes (n=1).
CT imaging revealed pleural effusion in 4 of 5 patients and air-space consolidation with internal low attenuation (with or without cavitation) in 4 of 5 patients.
Multiple noncavitating or subpleural pulmonary nodules were identified in 3 of 5 patients, and direct chest wall extension was present in 3 of 5 patients.
Follow-up CT following antimicrobial therapy demonstrated marked resolution of the pulmonary and pleural lesions in the evaluated patient.

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Implication

Case series reveals characteristic chest computed tomography features of pulmonary nocardiosis in immunocompromised hosts, highlighting key diagnostic patterns.

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Cite This Study

Yoon et al. (1995) studied this question.

synapsesocial.com/papers/6a7918873057cf3c2e021b33 https://doi.org/10.1097/00004728-199501000-00010

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Pulmonary Nocardiosis

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Discussion

Cite This Study

Pulmonary Nocardiosis

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