Unusual mixed infection of thoracic empyema caused by Mycobacteria tuberculosis, Nontuberculosis mycobacteria and Nocardia asteroides in a woman with systemic lupus erythematosus

Heng Ching Huang, Wen Liang Yu, Chi Chang Shieh, Kuo-Chen Cheng, He Hsiung Cheng

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14 Citations (Scopus)

Abstract

We report a 45-year-old woman of systemic lupus erythematosus (SLE) with thoracic empyema that was unusually infected by Mycobacterium tuberculosis (MTB), Nontuberculosis mycobacteria (NTM) concomitant with Nocardia asteroides. After a combined treatment of cotrimoxazole, clarithromycin and anti-tuberculosis drugs with a short-term of intravenous immunoglobulin (IVIG), the patient recovered from the critical illness. On the basis of the results in this case, we recommend a thorough survey of the probably concomitant infections of MTB and NTM in an immunocompromised patient with a known N. asteroid infection. In addition, an adjuvant intravenous immunoglobulin therapy may have beneficial effect in the control of infections in an SLE patient.

Original languageEnglish
JournalJournal of Infection
Volume54
Issue number1
DOIs
Publication statusPublished - Jan 2007

Keywords

  • Empyema thoracic
  • Mycobacterium tuberculosis
  • Nocardia asteroides
  • Nontuberculosis mycobacteria
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Applied Microbiology and Biotechnology
  • Microbiology
  • Parasitology
  • Virology
  • Immunology and Allergy
  • Infectious Diseases

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