The Journal of the Japanese Respiratory Society ONLINE JOURNAL

ABSTRACT

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Article in Japanese

Case Report

Pulmonary Nocardiosis Associated with Nephrotic Syndrome

Hideyuki Yuugetu, Yosirou Mochizuki, Yasuhiro Nakahara, Akira Tanaka, Tetuzi Kawamura, Sigeki Watanabe and Shin Sasaki

Department of Internal Medicine, Himeji National Hospital

ABSTRACT

A 70-year-old man treated for6months with prednisolone for nephrotic syndrome, was referred to our pulmonary division because of a nodule in the right lower lung field. Nocardia asteroides was isolated from the culture of the percutaneous lung aspiration, and the case was diagnosed as pulmonary nocardiosis. The lesion disappeared after 2 months of therapy with sulfamethoxazole/trimethoprim (1,600 mg/320 mg once a day), though it had been given prophylactically (800 mg/160 mg twice a week) for the prevention of pneumocystis carinii pneumonitis.

KEYWORDS: Nephrotic syndrome, Pulmonary nocardiosis

RECEIVED: 2000.5.31

JJRS, 39(5): 338-342, 2001