Laeknabladid · 2010
[Nocardiosis in immunocompromised host presenting as cellulitis].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Asgeirsson Hilmar, Sigurdardottir Bryndis
Аннотация
BACKGROUND: Nocardia is a rare pathogen of mainly immunocomprised patients. Only two cases of nocardiosis have previously been identified in Iceland.
CASE DESCRIPTION: A 92-year-old male on glucocorticoid therapy with metastatic bladder cancer presented with two weeks history of progressive swelling and erythema of the hand and deteriorating cognitive functioning. A brain lesion and pulmonary nodules were identified and Nocardia farcinia was cultured from a hand abscess. The patient was initially treated with trimethoprim/sulfamethoxazole but because of rapid deterioration and old age an end-of-life decision was made.
CONCLUSION: This case of nocardiosis illustrates the importance of uncommon opportunistic infections in immunocompromised Icelandic patients.
CASE DESCRIPTION: A 92-year-old male on glucocorticoid therapy with metastatic bladder cancer presented with two weeks history of progressive swelling and erythema of the hand and deteriorating cognitive functioning. A brain lesion and pulmonary nodules were identified and Nocardia farcinia was cultured from a hand abscess. The patient was initially treated with trimethoprim/sulfamethoxazole but because of rapid deterioration and old age an end-of-life decision was made.
CONCLUSION: This case of nocardiosis illustrates the importance of uncommon opportunistic infections in immunocompromised Icelandic patients.