Disseminated Nocardia asteroides infection with pulmonary and cerebral abscesses

Tuesday, 01 Feb 2005 13:47:46 GMT

The patient is a 42-year-old man who had undergone a pancreatic and renal transplant 6 months earlier. He presented with persistent cough and new onset of hallucinations. A chest radiograph performed upon admission showed a pulmonary lesion that appeared to have increased in size from a comparison computed tomography (CT) performed 1 month earlier. The patient had been receiving a sulfonamide antibiotic and prednisone, 10 mg daily. Upon admission, chest CT was performed to evaluate the pulmonary lesion and a cranial magnetic resonance imaging (MRI) scan was performed to evaluate the new onset of hallucinations.

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Disseminated Nocardia asteroides infection with pulmonary and cerebral abscesses