Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients
Joint Authors
Firdaus, Mohd Al-Baqlish Mohd
Sukahri, Samshol
Zainudin, Lily Diana
Hadi, Mohd Firdaus
Hafidz, Muhammad Imran Abdul
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pulmonary nocardiosis is a rare disorder that mainly affects immune-compromised patients.
We report a 37-year-old male who presented with persistent fever associated with productive cough.
During this course of therapy, he had recurrent admissions for empyema thoracic.
Clinically, his vital signs were normal.
Blood investigations show leukocytosis with a significantly raised erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
Sputum acid-fast bacilli (AFB) was scanty 1+ and sputum mycobacterium culture was negative.
Chest X-ray (CXR) showed consolidative changes with mild to moderate pleural effusion on the right side.
Skin biopsy was taken and showed Paecilomyces species.
A computed tomography scan (CT thorax) was performed and revealed a multiloculated collection within the right hemithorax with a split pleura sign.
Decortications were performed and tissue culture and sensitivity (C+S) growth of Nocardia species.
And it is sensitive to sulfamethoxazole-trimethoprim and completed treatment for 4 months.
This case highlights that pulmonary nocardiosis should be kept in mind in also immune-competent patients, especially in suspected cases of tuberculosis not responding to antitubercular therapy.
American Psychological Association (APA)
Sukahri, Samshol& Zainudin, Lily Diana& Hadi, Mohd Firdaus& Firdaus, Mohd Al-Baqlish Mohd& Hafidz, Muhammad Imran Abdul. 2020. Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients. Case Reports in Pulmonology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1151031
Modern Language Association (MLA)
Sukahri, Samshol…[et al.]. Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients. Case Reports in Pulmonology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1151031
American Medical Association (AMA)
Sukahri, Samshol& Zainudin, Lily Diana& Hadi, Mohd Firdaus& Firdaus, Mohd Al-Baqlish Mohd& Hafidz, Muhammad Imran Abdul. Recurrent Empyema Thoracic Secondary to Pulmonary Nocardiosis in Immunocompetent Patients. Case Reports in Pulmonology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1151031
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151031