A RARE CASE OF LOCALIZED PULMONARY NOCARDIOSIS CAUSED BY NOCARDIA FARCINICA IN A PATIENT WITH A BRAIN TUMOR

Öz

Nocardia farcinica is rarely isolated from clinical specimens, and it is a more virulent strain than other types of Nocardia. In this report, we evaluated a rare case of pleural empyema and pneumonia caused by Nocardia farcinica in a patient who had risk factors such as long-term use of corticosteroids, chronic respiratory disease, and a brain tumor. The distinction of N. farcinica from other Nocardia species is important because N. farcinica is more virulent and highly resistant, especially to broad-spectrum cephalosporins, which can make treatment difficult. In conclusion, in the presence of nonspecific physical examination and radiographic findings in patients using immunosuppressives and having comorbid diseases, atypical causative agents such as Nocardia infection should be considered in the differential diagnosis.

Anahtar Kelimeler

• Nocardiosis
• Nocardia farcinica
• pleural effusion
• antibiotic susceptibility test
• immunocompromised patients

BEYİN TÜMÖRÜ OLAN HASTADA NOCARDIA FARCINICA’NIN NEDEN OLDUĞU NADİR BİR LOKALİZE PULMONER NOKARDİYOZ OLGUSU

Öz

Nocardia farcinica klinik örneklerden nadiren izole edilir ve diğer Nocardia türlerine göre daha virülan bir türdür. Bu makalede uzun süreli kortikosteroid kullanımı, kronik solunum yolu hastalığı ve beyin tümörü gibi risk faktörlerine sahip bir hastada Nocardia farcinica'nın neden olduğu nadir bir plevral ampiyem ve pnömoni olgusu değerlendirildi. N. farcinica'nın diğer Nocardia türlerinden ayrılması önemlidir, çünkü N. farcinica daha virülandır ve özellikle geniş spektrumlu sefalosporinlere yüksek derecede dirençlidir ve bu da tedaviyi zorlaştırabilir. Sonuç olarak, immünsüpresif ilaç kullanan ve eşlik eden hastalıkları olan hastalarda nonspesifik fizik muayene ve radyografik bulguların varlığında ayırıcı tanıda Nocardia enfeksiyonu gibi atipik etkenlerin akılda tutulması gerekmektedir.

Anahtar Kelimeler

• Nokardiyoz
• Nocardia farcinica
• plevral efüzyon
• antibiyotik duyarlılık testi
• bağışıklığı zayıflamış hastalar

Kaynakça

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