Abstract
Nocardia infection is a fatal complication in compromised hosts and is often associated with a poor prognosis. Here we report the case of a 42-year-old man with acute liver injury treated with steroids who developed pulmonary nocardiosis. Pulmonary computed tomography was performed followed by bronchoscopy, which confirmed the diagnosis of pulmonary nocardiosis. This facilitated expedient and successful treatment of the pulmonary infection. Computed tomography is a useful tool for screening respiratory tract infection in immunocompromised patients, such as those with acute liver injury.
MeSH terms
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Acute Disease
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Adrenal Cortex Hormones / adverse effects*
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Adrenal Cortex Hormones / therapeutic use*
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Adult
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Anti-Bacterial Agents / administration & dosage
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Disease Susceptibility / chemically induced*
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Humans
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Immunocompromised Host*
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Immunosuppressive Agents / adverse effects*
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Immunosuppressive Agents / therapeutic use*
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Liver Diseases / complications*
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Liver Diseases / drug therapy*
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Male
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Nocardia Infections / complications*
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Nocardia Infections / diagnostic imaging
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Nocardia Infections / drug therapy
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Opportunistic Infections / complications*
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Opportunistic Infections / diagnostic imaging
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Opportunistic Infections / drug therapy
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Pneumonia, Bacterial / complications*
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Pneumonia, Bacterial / diagnostic imaging
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Pneumonia, Bacterial / drug therapy
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Radiography, Thoracic
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Severity of Illness Index
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Adrenal Cortex Hormones
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Anti-Bacterial Agents
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Immunosuppressive Agents