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

Detalhes bibliográficos
Autor(a) principal: Severo, Cecília Bittencourt
Data de Publicação: 2005
Outros Autores: Oliveira, Flávio de Mattos, Cunha, Lenine, Cantarelli, Vlademir, Severo, Luiz Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/30955
Resumo: 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.
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spelling Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture Nocardiose disseminada por Nocardia farcinica diagnosticada através do cultivo de abscesso da tireóide NocardiaNocardia farcinicaThyroiditisDisseminated nocardiosisBacteremiaOsteomyelitisPsoas Abscess 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. Paciente previamente hígido, homem de 75 anos, branco, dentista, apresentou história de seis meses de dor lombar, fez uso crônico de corticoterapia e teve diagnóstico de infecção por Nocardia farcinica através do aspirado de abscesso da tireóide e seis hemocultivos positivos. Apesar do tratamento com a combinação de sulfametoxazol/trimetoprim, o paciente não respondeu indo a óbito dois dias após. A necropsia revelou nocardiose disseminada, envolvendo ambos os pulmões, empiema bilateral, coração, tireóide, rins, cérebro, ossos, e tecidos moles lombossacrais, com destruição da L2-L4. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2005-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/30955Revista do Instituto de Medicina Tropical de São Paulo; Vol. 47 No. 6 (2005); 355-358 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 47 Núm. 6 (2005); 355-358 Revista do Instituto de Medicina Tropical de São Paulo; v. 47 n. 6 (2005); 355-358 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/30955/32839Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessSevero, Cecília BittencourtOliveira, Flávio de MattosCunha, LenineCantarelli, VlademirSevero, Luiz Carlos2012-07-07T18:39:54Zoai:revistas.usp.br:article/30955Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:51:40.586802Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
Nocardiose disseminada por Nocardia farcinica diagnosticada através do cultivo de abscesso da tireóide
title Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
spellingShingle Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
Severo, Cecília Bittencourt
Nocardia
Nocardia farcinica
Thyroiditis
Disseminated nocardiosis
Bacteremia
Osteomyelitis
Psoas Abscess
title_short Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
title_full Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
title_fullStr Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
title_full_unstemmed Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
title_sort Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture
author Severo, Cecília Bittencourt
author_facet Severo, Cecília Bittencourt
Oliveira, Flávio de Mattos
Cunha, Lenine
Cantarelli, Vlademir
Severo, Luiz Carlos
author_role author
author2 Oliveira, Flávio de Mattos
Cunha, Lenine
Cantarelli, Vlademir
Severo, Luiz Carlos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Severo, Cecília Bittencourt
Oliveira, Flávio de Mattos
Cunha, Lenine
Cantarelli, Vlademir
Severo, Luiz Carlos
dc.subject.por.fl_str_mv Nocardia
Nocardia farcinica
Thyroiditis
Disseminated nocardiosis
Bacteremia
Osteomyelitis
Psoas Abscess
topic Nocardia
Nocardia farcinica
Thyroiditis
Disseminated nocardiosis
Bacteremia
Osteomyelitis
Psoas Abscess
description 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.
publishDate 2005
dc.date.none.fl_str_mv 2005-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/30955
url https://www.revistas.usp.br/rimtsp/article/view/30955
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/30955/32839
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 47 No. 6 (2005); 355-358
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 47 Núm. 6 (2005); 355-358
Revista do Instituto de Medicina Tropical de São Paulo; v. 47 n. 6 (2005); 355-358
1678-9946
0036-4665
reponame:Revista do Instituto de Medicina Tropical de São Paulo
instname:Instituto de Medicina Tropical (IMT)
instacron:IMT
instname_str Instituto de Medicina Tropical (IMT)
instacron_str IMT
institution IMT
reponame_str Revista do Instituto de Medicina Tropical de São Paulo
collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
repository.mail.fl_str_mv ||revimtsp@usp.br
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