Endobronchial Enigma: A Clinically Rare Presentation of Nocardia beijingensis in an Immunocompetent Patient
Joint Authors
Abdel-Rahman, Nader
Izhakain, Shimon
Wasser, Walter G.
Fruchter, Oren
Kramer, Mordechai R.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-24
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Nocardiosis is an opportunistic infection caused by the Gram-positive weakly acid-fast, filamentous aerobic Actinomycetes.
The lungs are the primary site of infection mainly affecting immunocompromised patients.
In rare circumstances even immunocompetent hosts may also develop infection.
Diagnosis of pulmonary nocardiosis is usually delayed due to nonspecific clinical and radiological presentations which mimic fungal, tuberculous, or neoplastic processes.
The present report describes a rare bronchoscopic presentation of an endobronchial nocardial mass in a 55-year-old immunocompetent woman without underlying lung disease.
The patient exhibited signs and symptoms of unresolving community-acquired pneumonia with a computed tomography (CT) scan that showed a space-occupying lesion and enlarged paratracheal lymph node.
This patient represents the unusual presentation of pulmonary Nocardia beijingensis as an endobronchial mass.
Pathology obtained during bronchoscopy demonstrated polymerase chain reaction (PCR) confirmation of nocardiosis.
Symptoms and clinical findings improved with antibiotic treatment.
This patient emphasizes the challenge in making the diagnosis of pulmonary nocardiosis, especially in a low risk host.
A literature review presents the difficulties and pitfalls in the clinical assessment of such an individual.
American Psychological Association (APA)
Abdel-Rahman, Nader& Izhakain, Shimon& Wasser, Walter G.& Fruchter, Oren& Kramer, Mordechai R.. 2015. Endobronchial Enigma: A Clinically Rare Presentation of Nocardia beijingensis in an Immunocompetent Patient. Case Reports in Pulmonology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1059898
Modern Language Association (MLA)
Abdel-Rahman, Nader…[et al.]. Endobronchial Enigma: A Clinically Rare Presentation of Nocardia beijingensis in an Immunocompetent Patient. Case Reports in Pulmonology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1059898
American Medical Association (AMA)
Abdel-Rahman, Nader& Izhakain, Shimon& Wasser, Walter G.& Fruchter, Oren& Kramer, Mordechai R.. Endobronchial Enigma: A Clinically Rare Presentation of Nocardia beijingensis in an Immunocompetent Patient. Case Reports in Pulmonology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1059898
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059898