Internal Medicine, 2012, Vol.51(21), pp.3051-3056
2012
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- Autor(en) / Beteiligte
- Titel
- Successful Treatment of Serial Opportunistic Infections Including Disseminated Nocardiosis and Cryptococcal Meningitis in a Patient with ANCA-associated Vasculitis
- Ist Teil von
- Internal Medicine, 2012, Vol.51(21), pp.3051-3056
- Ort / Verlag
- Japan: The Japanese Society of Internal Medicine
- Erscheinungsjahr
- 2012
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- We herein present a case of serial opportunistic infections that included disseminated nocardiosis and cryptococcal meningitis in a 67-year-old man who was diagnosed with ANCA-associated vasculitis and treated with corticosteroids. Upon admission, the initial manifestations of the disease included subcutaneous tumors and multiple lesions in the brain and lungs. Nocardia farcinica was identified in a culture of the aspirated pus. The patient was successfully treated for disseminated nocardiosis with antibiotics. However, three months after discharge, he was hospitalized with complaints of nuchal pain. Cryptococcus neoformans was identified on a culture of the cerebrospinal fluid. Anti-fungal treatment resulted in the remission of cryptococcal meningitis.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0918-2918eISSN: 1349-7235DOI: 10.2169/internalmedicine.51.7886Titel-ID: cdi_proquest_miscellaneous_1315607233
- Format
- –
- Schlagworte
- Adrenal Cortex Hormones - adverse effects, Aged, ANCA associated vasculitis, Anti-Bacterial Agents - therapeutic use, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - complications, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - drug therapy, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - immunology, Antifungal Agents - therapeutic use, cryptococcal meningitis, Cryptococcus neoformans, disseminated nocardiosis, Humans, immunosuppression, Immunosuppressive Agents - adverse effects, Male, Meningitis, Cryptococcal - diagnosis, Meningitis, Cryptococcal - drug therapy, Meningitis, Cryptococcal - etiology, MPO-ANCA, Nocardia farcinica, Nocardia Infections - diagnosis, Nocardia Infections - drug therapy, Nocardia Infections - etiology, Opportunistic Infections - diagnosis, Opportunistic Infections - drug therapy, Opportunistic Infections - etiology, renal failure