A Case of Nocardia Empyema in a Young Adult Occurring after Surgery for Recurrent Spontaneous Pneumothorax

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  • 再発性自然気胸術後に発症したノカルジア膿胸の1例
  • 症例 再発性自然気胸術後に発症したノカルジア膿胸の1例
  • ショウレイ サイハツセイ シゼン キキョウ ジュツゴ ニ ハッショウ シタ ノカルジア ノウキョウ ノ 1レイ

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Abstract

Nocardia infection is a known opportunistic infection that can cause localized or systemic suppurative disease in humans. A 22-year-old male had a video-assisted thoracoscopic (VATS) wedge resection for recurrent pneumothorax. After surgery, the patient developed a prolonged air leakage and an empyema and was transferred to our hospital. A VATS decortication for acute empyema was performed. The chest tube was removed on postoperative day 11. Nocardia species were cultured from the specimens obtained during surgery. The patient was given trimethoprim-sulfamethoxazole (TMP-SMX) and ceftriaxone intravenously for 4 weeks and TMP-SMX orally for one year to prevent relapse of the nocardia infection. We report this case of nocardia empyema successfully treated by surgery.

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