A case of pulmonary nocardiosis diagnosed five years after hemoptysis

Kyoko Kudo; Satoshi Ikegame; Ichiro Inoshima; Hiroshi Ouchi; Eiji Harada; Taishi Harada; Masaki Fujita; Yoichi Nakanishi

A case of pulmonary nocardiosis diagnosed five years after hemoptysis

Kyoko Kudo, Satoshi Ikegame, Ichiro Inoshima, Hiroshi Ouchi, Eiji Harada, Taishi Harada, Masaki Fujita, Yoichi Nakanishi

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1 Scopus citations

Abstract

A 73-year-old man complaining of bloody sputum was admitted to our hospital in August 2000. His giant left lower lung field bulla had been removed in 1997, at which time atelectasis in left S10 was pointed out. Production of bloody sputum was stopped by the emergency bronchial artery embolization, and Nocardia species was found in the sputum. Because of both spontaneous disappearance of Nocardia species and no evidence of Nocardia infection, he was followed carefully by chest radiography every few months. Consolidation appeared in the left lower lung field and right upper lung field in 2005. Nocardia asteroides was frequently obtained from his sputa and lavage fluid under bronchoscopy. Therefore, we diagnosed pulmonary nocardiosis. Oral cotrimoxazole (Trimetoprim 15 mg/kg) was started, the dosage was halved because of adverse effects. Six months of treatment with cotrimoxazole resulted in improvement of the Nocardiosis.

Original language	English
Pages (from-to)	952-956
Number of pages	5
Journal	Respiratory Investigation
Volume	45
Issue number	12
State	Published - Dec 2007
Externally published	Yes

Cite this

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title = "A case of pulmonary nocardiosis diagnosed five years after hemoptysis",

abstract = "A 73-year-old man complaining of bloody sputum was admitted to our hospital in August 2000. His giant left lower lung field bulla had been removed in 1997, at which time atelectasis in left S10 was pointed out. Production of bloody sputum was stopped by the emergency bronchial artery embolization, and Nocardia species was found in the sputum. Because of both spontaneous disappearance of Nocardia species and no evidence of Nocardia infection, he was followed carefully by chest radiography every few months. Consolidation appeared in the left lower lung field and right upper lung field in 2005. Nocardia asteroides was frequently obtained from his sputa and lavage fluid under bronchoscopy. Therefore, we diagnosed pulmonary nocardiosis. Oral cotrimoxazole (Trimetoprim 15 mg/kg) was started, the dosage was halved because of adverse effects. Six months of treatment with cotrimoxazole resulted in improvement of the Nocardiosis.",

author = "Kyoko Kudo and Satoshi Ikegame and Ichiro Inoshima and Hiroshi Ouchi and Eiji Harada and Taishi Harada and Masaki Fujita and Yoichi Nakanishi",

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T1 - A case of pulmonary nocardiosis diagnosed five years after hemoptysis

AU - Kudo, Kyoko

AU - Ikegame, Satoshi

AU - Inoshima, Ichiro

AU - Ouchi, Hiroshi

AU - Harada, Eiji

AU - Harada, Taishi

AU - Fujita, Masaki

AU - Nakanishi, Yoichi

PY - 2007/12

Y1 - 2007/12

N2 - A 73-year-old man complaining of bloody sputum was admitted to our hospital in August 2000. His giant left lower lung field bulla had been removed in 1997, at which time atelectasis in left S10 was pointed out. Production of bloody sputum was stopped by the emergency bronchial artery embolization, and Nocardia species was found in the sputum. Because of both spontaneous disappearance of Nocardia species and no evidence of Nocardia infection, he was followed carefully by chest radiography every few months. Consolidation appeared in the left lower lung field and right upper lung field in 2005. Nocardia asteroides was frequently obtained from his sputa and lavage fluid under bronchoscopy. Therefore, we diagnosed pulmonary nocardiosis. Oral cotrimoxazole (Trimetoprim 15 mg/kg) was started, the dosage was halved because of adverse effects. Six months of treatment with cotrimoxazole resulted in improvement of the Nocardiosis.

AB - A 73-year-old man complaining of bloody sputum was admitted to our hospital in August 2000. His giant left lower lung field bulla had been removed in 1997, at which time atelectasis in left S10 was pointed out. Production of bloody sputum was stopped by the emergency bronchial artery embolization, and Nocardia species was found in the sputum. Because of both spontaneous disappearance of Nocardia species and no evidence of Nocardia infection, he was followed carefully by chest radiography every few months. Consolidation appeared in the left lower lung field and right upper lung field in 2005. Nocardia asteroides was frequently obtained from his sputa and lavage fluid under bronchoscopy. Therefore, we diagnosed pulmonary nocardiosis. Oral cotrimoxazole (Trimetoprim 15 mg/kg) was started, the dosage was halved because of adverse effects. Six months of treatment with cotrimoxazole resulted in improvement of the Nocardiosis.

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VL - 45

SP - 952

EP - 956

JO - Respiratory Investigation

JF - Respiratory Investigation

IS - 12

ER -

A case of pulmonary nocardiosis diagnosed five years after hemoptysis

Abstract

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