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Nocardia farcinica complicating Cogan's syndrome

Nocardiosis is an uncommon bacterial gram-positive infection caused by aerobic actinomycetes in the genus Nocardia. Nocardiosis is typically regarded as an opportunistic infection with approximately two-thirds of infected patients being immunocompromised. In this case report we describe a 45-year-ol...

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Autores principales: Merinopoulos, Dimos, Khan, Haroon, Ginwalla, Sara, Lane, Suzanne, Watts, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4369978/
https://www.ncbi.nlm.nih.gov/pubmed/25988020
http://dx.doi.org/10.1093/omcr/omu016
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author Merinopoulos, Dimos
Khan, Haroon
Ginwalla, Sara
Lane, Suzanne
Watts, Richard
author_facet Merinopoulos, Dimos
Khan, Haroon
Ginwalla, Sara
Lane, Suzanne
Watts, Richard
author_sort Merinopoulos, Dimos
collection PubMed
description Nocardiosis is an uncommon bacterial gram-positive infection caused by aerobic actinomycetes in the genus Nocardia. Nocardiosis is typically regarded as an opportunistic infection with approximately two-thirds of infected patients being immunocompromised. In this case report we describe a 45-year-old female who presented with a right thigh abscess. She had been taking high-dose prednisolone and ciclosporin for Cogan's syndrome. She presented with erythema and severe pain over her right thigh. Ultrasound showed a collection and Nocardia farcinica was isolated. This case report stresses the importance of considering atypical infections in immunocompromised patients, even with minor symptoms, to avoid delay in diagnosis and treatment.
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spelling pubmed-43699782015-05-18 Nocardia farcinica complicating Cogan's syndrome Merinopoulos, Dimos Khan, Haroon Ginwalla, Sara Lane, Suzanne Watts, Richard Oxf Med Case Reports Case Reports Nocardiosis is an uncommon bacterial gram-positive infection caused by aerobic actinomycetes in the genus Nocardia. Nocardiosis is typically regarded as an opportunistic infection with approximately two-thirds of infected patients being immunocompromised. In this case report we describe a 45-year-old female who presented with a right thigh abscess. She had been taking high-dose prednisolone and ciclosporin for Cogan's syndrome. She presented with erythema and severe pain over her right thigh. Ultrasound showed a collection and Nocardia farcinica was isolated. This case report stresses the importance of considering atypical infections in immunocompromised patients, even with minor symptoms, to avoid delay in diagnosis and treatment. Oxford University Press 2014-05-28 /pmc/articles/PMC4369978/ /pubmed/25988020 http://dx.doi.org/10.1093/omcr/omu016 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Merinopoulos, Dimos
Khan, Haroon
Ginwalla, Sara
Lane, Suzanne
Watts, Richard
Nocardia farcinica complicating Cogan's syndrome
title Nocardia farcinica complicating Cogan's syndrome
title_full Nocardia farcinica complicating Cogan's syndrome
title_fullStr Nocardia farcinica complicating Cogan's syndrome
title_full_unstemmed Nocardia farcinica complicating Cogan's syndrome
title_short Nocardia farcinica complicating Cogan's syndrome
title_sort nocardia farcinica complicating cogan's syndrome
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4369978/
https://www.ncbi.nlm.nih.gov/pubmed/25988020
http://dx.doi.org/10.1093/omcr/omu016
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