Pulmonary Nocardiosis: Review of Cases and an Update

Nocardia, a branching, filamentous bacteria, is widely distributed in the environment and can cause human infection in immune-compromised hosts. Inhalation of Nocardia leads to pulmonary disease. Microbiology laboratory processed the clinical samples from patients with respiratory infections. Smears...

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Main Authors: Malini Shariff, Jayanthi Gunasekaran
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2016/7494202
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author Malini Shariff
Jayanthi Gunasekaran
author_facet Malini Shariff
Jayanthi Gunasekaran
author_sort Malini Shariff
collection DOAJ
description Nocardia, a branching, filamentous bacteria, is widely distributed in the environment and can cause human infection in immune-compromised hosts. Inhalation of Nocardia leads to pulmonary disease. Microbiology laboratory processed the clinical samples from patients with respiratory infections. Smears were prepared from the samples and were stained and cultured. Five cases were positive for Nocardia. They were treated with the trimethoprim-sulfamethoxazole combination. The disease was cured in three patients, and two died due to other comorbid conditions leading to complications. Nocardiosis is encountered in parts of the world even where it is not endemic due to increased world travel. So physicians and laboratory staff should be aware of this and try to diagnose it. Early detection can lead to the prompt initiation of treatment and reduced mortality in these patients. Patients with disseminated or severe nocardiosis should be treated with combination therapy with two or more active agents.
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spelling doaj-art-bd9805984e7543a8ad592666333d49ef2025-02-03T01:28:13ZengWileyCanadian Respiratory Journal1198-22411916-72452016-01-01201610.1155/2016/74942027494202Pulmonary Nocardiosis: Review of Cases and an UpdateMalini Shariff0Jayanthi Gunasekaran1Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110007, IndiaDepartment of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi 110007, IndiaNocardia, a branching, filamentous bacteria, is widely distributed in the environment and can cause human infection in immune-compromised hosts. Inhalation of Nocardia leads to pulmonary disease. Microbiology laboratory processed the clinical samples from patients with respiratory infections. Smears were prepared from the samples and were stained and cultured. Five cases were positive for Nocardia. They were treated with the trimethoprim-sulfamethoxazole combination. The disease was cured in three patients, and two died due to other comorbid conditions leading to complications. Nocardiosis is encountered in parts of the world even where it is not endemic due to increased world travel. So physicians and laboratory staff should be aware of this and try to diagnose it. Early detection can lead to the prompt initiation of treatment and reduced mortality in these patients. Patients with disseminated or severe nocardiosis should be treated with combination therapy with two or more active agents.http://dx.doi.org/10.1155/2016/7494202
spellingShingle Malini Shariff
Jayanthi Gunasekaran
Pulmonary Nocardiosis: Review of Cases and an Update
Canadian Respiratory Journal
title Pulmonary Nocardiosis: Review of Cases and an Update
title_full Pulmonary Nocardiosis: Review of Cases and an Update
title_fullStr Pulmonary Nocardiosis: Review of Cases and an Update
title_full_unstemmed Pulmonary Nocardiosis: Review of Cases and an Update
title_short Pulmonary Nocardiosis: Review of Cases and an Update
title_sort pulmonary nocardiosis review of cases and an update
url http://dx.doi.org/10.1155/2016/7494202
work_keys_str_mv AT malinishariff pulmonarynocardiosisreviewofcasesandanupdate
AT jayanthigunasekaran pulmonarynocardiosisreviewofcasesandanupdate