Treatment of refractory localized pulmonary nocardiosis caused by Nocardia mexicana with a combination of medication and surgery

Treatment of refractory localized pulmonary nocardiosis caused by Nocardia mexicana with a combination of medication and surgery

Pulmonary nocardiosis is a rare disease that is often difficult to cure because of its tendency to recur. Here, we report a case of refractory localized pulmonary nocardiosis caused by Nocardia mexicana. A 60‐year‐old Japanese woman had recurring pulmonary nocardiosis four times previously and each...

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Published in:Respirology case reports Vol. 11; no. 3; pp. e01098 - n/a
Main Authors: Kogure, Miwako, Takase, Eri, Fusamoto, Aya, Sato, Koichi, Tsuchihashi, Yukiko, Nakanishi, Hirotaka, Ikeda, Takeshi, Kuchibiro, Tomokazu, Hirai, Yoshimitsu, Kanai, Kuninobu
Format: Journal Article
Language:English
Published: Chichester, UK John Wiley & Sons, Ltd 01-03-2023
John Wiley & Sons, Inc
Wiley
Subjects:
Abscesses
Antibiotics
Bronchoscopy
Case Report
Case Reports
Infections
Lavage
medication
Nocardia mexicana
pulmonary nocardiosis
refractory
Surgery
Tomography
refractory
pulmonary nocardiosis
medication
Nocardia mexicana
surgery
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Summary:Pulmonary nocardiosis is a rare disease that is often difficult to cure because of its tendency to recur. Here, we report a case of refractory localized pulmonary nocardiosis caused by Nocardia mexicana. A 60‐year‐old Japanese woman had recurring pulmonary nocardiosis four times previously and each time she was treated with antibiotics for a sufficient duration; nevertheless, the disease continued to recur, probably because of resistance to antibiotics. As a fifth treatment, we performed middle lobe resection and pre‐ and post‐operative antimicrobial therapy for 6 months. The combination of medication and surgery was useful for treating refractory localized pulmonary nocardiosis Pulmonary nocardiosis is a rare disease that is often difficult to cure because of its tendency to recur. This report shows that the treatment with combination of medication and surgery was useful for treating refractory localized pulmonary nocardiosis caused by Nocardia mexicana.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Report-1
Associate Editor: Priya Daniel
ISSN:2051-3380
2051-3380
DOI:10.1002/rcr2.1098