Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture

Authors

  • Cecília Bittencourt Severo Santa Casa; Complexo-Hospitalar; Hospital Santa Rita; Laboratório de Micologia
  • Flávio de Mattos Oliveira Santa Casa; Complexo-Hospitalar; Hospital Santa Rita; Laboratório de Micologia
  • Lenine Cunha Santa Casa; Complexo-Hospitalar; Hospital Santa Rita; Serviço de Tomografia
  • Vlademir Cantarelli Weinmann Laboratório
  • Luiz Carlos Severo Santa Casa; Complexo-Hospitalar; Hospital Santa Rita; Laboratório de Micologia

Keywords:

Nocardia, Nocardia farcinica, Thyroiditis, Disseminated nocardiosis, Bacteremia, Osteomyelitis, Psoas Abscess

Abstract

A previously healthy 75-year-old white male dentist presented with a 6-month history of low-back pain treated with chronic steroid therapy had a Nocardia farcinica infection diagnosed by aspirate of thyroid abscess and six blood cultures. Despite the treatment with parenteral combination of trimethoprim/sulfamethoxazole, the patient failed to respond and died after two days of therapy. Autopsy revealed disseminated nocardiosis, involving lungs with pleural purulent exudate in both sides, heart, thyroid, kidneys, brain, bones, and lumbosacral soft tissue with destruction of L2-L4.

Downloads

Download data is not yet available.

Downloads

Published

2005-12-01

Issue

Vol. 47 No. 6 (2005)

Section

Case Report

How to Cite

Severo, C. B., Oliveira, F. de M., Cunha, L., Cantarelli, V., & Severo, L. C. (2005). Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture . Revista Do Instituto De Medicina Tropical De São Paulo, 47(6), 355-358. https://www.revistas.usp.br/rimtsp/article/view/30955