Document Detail

Pulmonary nocardiosis developed in a hematopoietic stem cell transplant recipient with bronchiolitis obliterans.
MedLine Citation:
PMID:  20647664     Owner:  NLM     Status:  In-Process    
The chronic graft-versus-host disease often requires unceasing immunosuppressive therapy (IST), which increases a risk of infectious complications in hematopoietic stem cell transplantation (HSCT) recipients. We report an adult T-cell leukemia/lymphoma case who developed pulmonary nocardiosis, a rare pulmonary complication, after allogeneic HSCT despite administration of the prophylactic trimethoprim-sulfamethoxazole (TMP/STX). The inhaled corticosteroid in addition to systemic IST had been started for bronchiolitis obliterance 4 months prior to nocardiosis development. The patient was successfully treated with an increased dose of TMP/STX combined with meropenem. Transplantation physicians should keep this rare pulmonary complication in mind during sustained IST.
Ruriko Nishida; Yasuo Mori; Hiromi Iwasaki; Takahito Tokuyama; Kenjiro Kamezaki; Yoji Nagasaki; Hideyo Oka; Kohta Miyawaki; Noriyuki Saito; Katsuto Takenaka; Naoki Harada; Toshihiro Miyamoto; Takanori Teshima; Koichi Akashi
Related Documents :
18534974 - Evaluation of the right ventricular ejection fraction during orthotopic liver transplan...
12538984 - Pulmonary transplantation for advanced bronchioloalveolar carcinoma.
16436974 - Mycophenolate mofetil and bronchiectasis in kidney transplant patients: a possible rela...
10232564 - Pulmonary infiltrates in liver transplant recipients in the intensive care unit.
326454 - Urine fibrin degradation products in detection and management of acute and chronic rena...
19866484 - Hepatitis c virus infection after liver transplantation is associated with lower levels...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1441-4     Citation Subset:  IM    
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Primary ciliary dyskinesia that responded to long-term, low-dose clarithromycin.
Next Document:  Cortical blindness and ataxia complicating bronchial artery embolization for severe hemoptysis.