Pulmonary Nocardiosis Induced by Long-Term Use of Steroids on a Bronchiectasis Backgroung
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Case Report
P: 88-91
March 2015

Pulmonary Nocardiosis Induced by Long-Term Use of Steroids on a Bronchiectasis Backgroung

Med Bull Haseki 2015;53(1):88-91
1. Dörtyol Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Hatay, Türkiye
2. İskenderun Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Hatay, Türkiye
3. Biga Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Çanakkale, Türkiye
4. Trakya Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Edirne, Türkiye
No information available.
No information available
Received Date: 22.06.2014
Accepted Date: 25.08.2014
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ABSTRACT

A 45-year-old male was assessed with the complaints of cough, sputum, fever, shortness of breath, tingling and burning in both legs. In his history, he had frequent hospitalizations and steroid use. Respiratory system examination revealed inspiratory and expiratory crackles on bilateral lower-middle zones and expiration rhoncus. Laboratory examination revealed leukocytosis and elevated CRP levels; serology for HIV was reported negative. Computed tomography showed diffuse interstitial pneumonia. Electromyography (EMG) showed lower extremity muscle activation compatible with myopathy. Acid-fast bacilli was negative (three consecutive negative microscopy results) and no reproduction was detected in the culture. Nocardia spp. growth was detected in sputum culture. According to the antibiogram results, he was treated with doxycycline, trimethoprim and sulfamethoxazole for 6 months. At the end of treatment, the lesions were found to be regressed on computed tomography. In conclusion, considering the high frequency of bronchiectasis in our country, the fact that nocardia may develop due to inappropriate long-term steroid use during an attack should be kept in mind.