Nocardiosis: An opportunistic infection in A patient with systemic lupus erythematosus

M. J. Wu, L. Y. Lu, H. H. Cheng, Y. C. Liu

研究成果: 雜誌貢獻文章

摘要

Nocardiosis is a uncommon opportunistic infection but has been increasingly recognized in patients with systemic lupus erythematosus (SLE). It is important because it is curable but still causes high mortality, which is usually contributed by delayed diagnosis and treatment. A high index of suspicion, an aggressive attitude in diagnosis, and early adequate therapy are necessary for management of nocardiosis in SLE. We report a 45-year-old woman with SLE who presented intermittent high fever, productive cough and general weakness. Initially, pulmonary tuberculosis was considered and antituberculous regimen was started. However, her symptoms did not subside by this regimen for one month. Repeated pleurocentesis yielded pus, and smear/cultures confirmed the diagnosis of nocardiosis. The patient received adequate antibiotic therapy in addition to adjunctive surgical drain for her empyema, and ended up with complete recovery.

原文英語
頁(從 - 到)41-44
頁數4
期刊Journal of Internal Medicine of Taiwan
12
發行號1
出版狀態已發佈 - 2001
對外發佈Yes

指紋

Nocardia Infections
Opportunistic Infections
Systemic Lupus Erythematosus
Empyema
Suppuration
Delayed Diagnosis
Secondary Prevention
Pulmonary Tuberculosis
Cough
Fever
Anti-Bacterial Agents
Mortality
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine

引用此文

Nocardiosis : An opportunistic infection in A patient with systemic lupus erythematosus. / Wu, M. J.; Lu, L. Y.; Cheng, H. H.; Liu, Y. C.

於: Journal of Internal Medicine of Taiwan, 卷 12, 編號 1, 2001, p. 41-44.

研究成果: 雜誌貢獻文章

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