Pyothorax Caused by Nocardia otitidiscaviarum in a Patient with Rheumatoid Vasculitis

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概要

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• We report a case of pyothorax caused by Nocardia (N.) otitidiscaviarum infection in a 69-year-old man with rheumatoid vasculitis, who was regularly treated with prednisolone in our hospital. Initially, the patient responded poorly to intravenous imipenem/cilastatin (IPM/CS), minocyclin (MINO), and oral trimethoprim-sulfamethoxazole (TMP-SMX), but later improved after treatment with levofloxacin (LVFX) and gentamicin sulfate (GM) according to in vitro susceptibility tests. To our knowledge, this is the first description of pyothorax caused by N. otitidiscaviarum infection. It is a rare disease, but recognition of the disease in immunocompromised patients and the prompt initiation of appropriate treatments based on isolation of the pathogen and susceptibility testing can lead to a successful outcome.

• 社団法人　日本内科学会の論文
• 2004-07-01

著者

• Ishida T

  First Department Of Internal Medicine Kagawa Medical University

• Ishii Tomoya

  香川医科大学 1内

• BANDOH Shuji

  First Department of Internal Medicine, Kagawa Medical University

• FUJITA Jiro

  First Department of Internal Medicine, Kagawa Medical University

• ISHIDA Toshihiko

  First Department of Internal Medicine, Kagawa Medical University

• Fujita Jiro

  First Department Of Internal Medicine Kagawa Medical University

• Ishii Tomoya

  First Department Of Internal Medicine Kagawa Medical University

• Ishida Toshihiko

  First Department Of Internal Medicine Division Of Endocrinology And Metabolism Hematology Rheumatolo

• Tokuda Michiaki

  First Department of Internal Medicine, Kagawa Medical School

• YOSHIDA Kazuya

  First Department of Internal Medicine, Kagawa Medical University

• NEGAYAMA Kiyoshi

  Department of Clinical Laboratory, Kagawa Medical University

• Fujita Jiro

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases Faculty Of Med

• Bandoh Shuji

  First Department Of Internal Medicine Kagawa Medical University

• Fujita Jiro

  松山市民病院 臨床病理検査室

• Tokuda Michiaki

  First Department Of Internal Medicine Kagawa Medical University

• Tokuda Michiaki

  First Department Of Internal Medicine Kagawa Medical School

• Fujita Jiro

  Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases Faculty Of Med

• Negayama Kiyoshi

  Department Of Clinical Laboratory Kagawa Medical University

• Yoshida Kazuya

  First Department Of Internal Medicine Kagawa Medical University

• Tokuda Michiaki

  First Department of Internal Medicine, Kagawa Medical University

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