A Case of Intramuscular Abscess Caused by Nocardia farcinica in a Patient with Lupus Nephritis Concurrent with Pulmonary Tuberculosis.
- Author:
Yoo Hum BAEK
1
;
Yoon Jeong KIM
;
Hak Hyun LEE
;
Ji Youn YOUM
;
Oh Wan KWON
;
Jee Hyun KIM
;
Seok Hwan KIM
;
Chang Nam KANG
;
Sang Heon KIM
;
Tae Yeal CHOI
;
Sang Cheol BAE
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Lupus nephritis;
Nocardia;
Pulmonary tuberculosis
- MeSH:
Abscess*;
Cyclophosphamide;
Humans;
Lupus Erythematosus, Systemic;
Lupus Nephritis*;
Mycobacterium tuberculosis;
Nocardia Infections;
Nocardia*;
Opportunistic Infections;
Polymerase Chain Reaction;
Sulfamethoxazole;
Tuberculosis, Pulmonary*
- From:The Journal of the Korean Rheumatism Association
2006;13(4):327-332
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nocardiosis is usually a subacute infection, which can occur as an opportunistic infections in patients with systemic lupus erythematosus. There are rare cases of nocardiosis concurrent with Mycobacterium tuberculosis. We report a case of intramuscular nocardial abscess concurrent with pulmonary tuberculosis in a patient with lupus nephritis. She has received cyclophosphamide pulse therapies and is receiving oral steroid therapy 3 months ago. After Nocardia farcinica and Mycobacterium tuberculosis were confirmed by PCR and PCR-RFLP, we initiated trimethoprim/ sulfamethoxazole and antituberculous agents. After then, patient was improved and discharged, maintaining the medications.
