Document Detail

Pulmonary nocardiosis with bilateral diffuse granular lung shadows in a patient with subcutaneous panniculitic T-cell lymphoma.
MedLine Citation:
PMID:  12487174     Owner:  NLM     Status:  MEDLINE    
A 40-year-old woman undergoing prednisolone and cyclosporine therapy for subcutaneous panniculitic T-cell lymphoma complained of a cough for a few weeks. A chest X-ray revealed bilateral diffuse granular shadows. Additionally, the patient was discovered to have multiple subcutaneous abscesses. Gram-stained smears of sputum and pus from the abscess showing branched gram-positive rods led to a diagnosis of pulmonary nocardiosis with dissemination to the lungs and subcutaneous tissues. Combination therapy consisting of sulfamethoxazole/trimethoprim and panipenem/betamipron produced rapid improvement of radiographic abnormalities. It is suggested that pulmonary nocardiosis should be considered in the differential diagnosis of diffuse granular shadows on chest X-rays, especially in immunocompromised patients.
Munehiro Enomoto; Hideaki Yamasawa; Toyomitsu Sawai; Masashi Bando; Shoji Ohno; Yukihiko Sugiyama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  41     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-12-18     Completed Date:  2003-09-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  986-9     Citation Subset:  IM    
Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Minamikawachi, Tochigi.
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MeSH Terms
Lung Diseases / complications*,  radiography
Lymphoma, T-Cell, Cutaneous / complications*
Nocardia Infections / complications*,  radiography
Panniculitis / microbiology*
Skin Neoplasms / complications*
Comment In:
Intern Med. 2002 Nov;41(11):915-6   [PMID:  12487157 ]

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