Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report
ABSTRACT The patient, a 56‐year‐old female with a history of childhood bronchiectasis and controlled hypertension, presented with fever, cough, and hemoptysis. Despite initial treatment for exacerbation of bronchiectasis, her condition worsened, leading to sepsis. Blood tests revealed leukocytosis a...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70505 |
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| author | Reza Ibrahimi Farid Poursadegh Mahnaz Mozdourian Fariba Rezaeetalab Zohre Emamdadi Sahar Arab Yousefabadi Sara Samadi |
| author_facet | Reza Ibrahimi Farid Poursadegh Mahnaz Mozdourian Fariba Rezaeetalab Zohre Emamdadi Sahar Arab Yousefabadi Sara Samadi |
| author_sort | Reza Ibrahimi |
| collection | DOAJ |
| description | ABSTRACT The patient, a 56‐year‐old female with a history of childhood bronchiectasis and controlled hypertension, presented with fever, cough, and hemoptysis. Despite initial treatment for exacerbation of bronchiectasis, her condition worsened, leading to sepsis. Blood tests revealed leukocytosis and elevated CRP. Lung HRCT showed necrotic consolidation and nodules in the left and right lung, suggestive of necrotizing pneumonia. Bronchoscopy revealed Nocardia species, leading to intravenous co‐trimoxazole treatment. After a week in ICU, the patient improved and was discharged with oral co‐trimoxazole. The patient remained free of relapse during a 6‐month follow‐up period, with no CNS or cutaneous involvement detected. |
| format | Article |
| id | doaj-art-5e7fe1d944cd4e59a57009e40c7c07cf |
| institution | OA Journals |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-5e7fe1d944cd4e59a57009e40c7c07cf2025-08-20T02:10:28ZengWileyClinical Case Reports2050-09042025-06-01136n/an/a10.1002/ccr3.70505Pulmonary Nocardiosis in an Immunocompetent Patient: A Case ReportReza Ibrahimi0Farid Poursadegh1Mahnaz Mozdourian2Fariba Rezaeetalab3Zohre Emamdadi4Sahar Arab Yousefabadi5Sara Samadi6Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranLung Diseases Research Center Mashhad University of Medical Sciences Mashhad IranLung Diseases Research Center Mashhad University of Medical Sciences Mashhad IranLung Diseases Research Center Mashhad University of Medical Sciences Mashhad IranDepartment of Pathology Emam Reza Hospital, Mashhad University of Medical Sciences Mashhad IranStudent Research Committee Mashhad University of Medical Sciences Mashhad IranDepartment of Internal Medicine, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranABSTRACT The patient, a 56‐year‐old female with a history of childhood bronchiectasis and controlled hypertension, presented with fever, cough, and hemoptysis. Despite initial treatment for exacerbation of bronchiectasis, her condition worsened, leading to sepsis. Blood tests revealed leukocytosis and elevated CRP. Lung HRCT showed necrotic consolidation and nodules in the left and right lung, suggestive of necrotizing pneumonia. Bronchoscopy revealed Nocardia species, leading to intravenous co‐trimoxazole treatment. After a week in ICU, the patient improved and was discharged with oral co‐trimoxazole. The patient remained free of relapse during a 6‐month follow‐up period, with no CNS or cutaneous involvement detected.https://doi.org/10.1002/ccr3.70505Mycobacterium tuberculosisnocardiapneumoniatherapy |
| spellingShingle | Reza Ibrahimi Farid Poursadegh Mahnaz Mozdourian Fariba Rezaeetalab Zohre Emamdadi Sahar Arab Yousefabadi Sara Samadi Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report Clinical Case Reports Mycobacterium tuberculosis nocardia pneumonia therapy |
| title | Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report |
| title_full | Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report |
| title_fullStr | Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report |
| title_full_unstemmed | Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report |
| title_short | Pulmonary Nocardiosis in an Immunocompetent Patient: A Case Report |
| title_sort | pulmonary nocardiosis in an immunocompetent patient a case report |
| topic | Mycobacterium tuberculosis nocardia pneumonia therapy |
| url | https://doi.org/10.1002/ccr3.70505 |
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