A Case Report of Pulmonary Nocardiosis Associated with Bronchiectasis after Pulmonary Tuberculosis Succcessfully Treated with Sparfloxacin

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  • SATOH Satoshi
    Department of Internal Medicine, Kyorin Hospital
  • OISHI Kazunori
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • WATANABE Kiwao
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University
  • NAGATAKE Tuyoshi
    Department of Internal Medicine, Institute of Tropical Medicine, Nagasaki University

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Other Title
  • 肺結核後の気管支拡張症に続発し, スパルフロキサシンが著効した肺<I>Nocardia asteroides</I>症の1例
  • 臨床 肺結核後の気管支拡張症に続発し,スパルフロキサシンが著効した肺Nocardia asteroides症の1例
  • リンショウ ハイケッカク ゴ ノ キカンシ カクチョウショウ ニ ゾクハツ シ スパルフロキサシン ガ チョコウシタ ハイ Nocardia asteroidesショウ ノ 1レイ

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Abstract

A 48-year-old female with bronchiectasis after pulmonary tuberculosis was admitted to our hospital because of bloody sputum and multiple cavity formation in the right lung. Chest X-ray & CT films revealed diffuse nodular shadows and cavity formation with a thick wall.Nocardia asteroideswas isolated from the stum but no other pathogenic bacteria was isolated. Administration of sulfamethoxazole-trimethoprim is not effective. The results of an MIC test for antimicrobial agents led to treatment with sparfloxacin and the clinical symptoms and cavity formations in the rigth lung improved. Nocardia asteroides máy cause exacerbation of bronchiectasis.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 76 (3), 212-215, 2002

    The Japanese Association for Infectious Diseases

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