| Literature DB >> 25343123 |
Shinya Hagiwara1, Hiroto Tsuboi1, Chihiro Hagiya1, Masahiro Yokosawa1, Tomoya Hirota1, Hiroshi Ebe1, Hiroyuki Takahashi1, Hiroshi Ogishima1, Hiromitsu Asashima1, Yuya Kondo1, Naoto Umeda1, Takeshi Suzuki1, Shigemi Hitomi2, Isao Matsumoto1, Takayuki Sumida1.
Abstract
Reported here are 2 patients with connective tissue disease who developed pulmonary nocardiosis. Case 1 involved a 73-year-old man with malignant rheumatoid arthritis treated with prednisolone 25 mg/day. Chest X-rays revealed a pulmonary cavity and bronchoscopy detected Nocardia species. The patient was successfully treated with trimethoprim/sulfamethoxazole. Case 2 involved a 41-year-old woman with systemic lupus erythematosus. The patient received remission induction therapy with 50 mg/day of prednisolone and tacrolimus. Six weeks later, a chest CT scan revealed a pulmonary cavity; bronchoscopy resulted in a diagnosis of pulmonary nocardiosis. The patient had difficulty tolerating trimethoprim/sulfamethoxazole, so she was switched to and successfully treated with imipenem/cilastatin and amikacin.Entities:
Keywords: Connective tissue disease; immunosuppressive therapy; nocardia; pulmonary nocardiosis
Year: 2014 PMID: 25343123 PMCID: PMC4204540 DOI: 10.5582/irdr.3.25
Source DB: PubMed Journal: Intractable Rare Dis Res ISSN: 2186-3644