Nocardiose pulmonar em portador de doenˋa pulmonar obstrutiva crˋnica e bronquiectasias

作者:Aide; Miguel Abidon; Loureno; Silvia Soares; Marchiori; Edson; Zanetti; Glaucia; Mondino; Pedro Juan Jose
来源:Jornal Brasileiro de Pneumologia, 2008.
DOI:10.1590/S1806-37132008001100016

摘要

we report the case of a patient with chronic obstructive pulmonary disease and bronchiectasis, chronically using corticosteroids, who acquired pulmonary nocardiosis, which presented as multiple cavitated nodules. the principal symptoms were fever, dyspnea and productive cough with purulent sputum. chest x-ray and computed tomography of the chest revealed nodules, some of which were cavitated, in both lungs. sputum smear microscopy and culture revealed the presence of nocardia spp. the patient was treated with imipenem and cilastatin, which produced an excellent clinical response.

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