CONCLUSION: The CT presentation of PN is heterogeneous. Airspace disease appeared most frequently (in 64% of the cases), and nodules were present in 57% of the cases. [ncbi.nlm.nih.gov]

• Fever

  […] chest pain The symptoms of fever, chills, and weight loss often result in pulmonary nocardiosis being mistaken for tuberculosis ! [amboss.com]

  He presented with recurrent high-grade fever of a few days' duration prior to his initial visit, which subsequently led to his admission. [ncbi.nlm.nih.gov]

• Weight Loss

  […] chest pain The symptoms of fever, chills, and weight loss often result in pulmonary nocardiosis being mistaken for tuberculosis ! [amboss.com]

  A twenty-seven years old male presented with fever, cough with expectoration and weight loss for two months. Chest radiograph showed opacity in the right mid zones. [ncbi.nlm.nih.gov]

  loss skin ~ infection, rashes, lumps, abscesses Some with nocardiosis never experience any symptoms. [healthblurbs.com]

  Pulmonary nocardiosis is the most common, and its symptoms are a lot like ones you might have with pneumonia or tuberculosis : Chest pain Coughing Sweating Chills Feeling weak Lack of appetite Unexplained weight loss Shortness of breath or a hard time [webmd.com]

  Night sweats, fatigue and weakness, lack of appetite and weight loss may also be experienced. In up to 30% of cases the infection enters the bloodstream and spreads to other organs (most commonly the brain) where it causes abscesses. [southerncross.co.nz]

• Chills

  Fever and chills appeared. The patient did not have a headache, chest pain, cough, or other pulmonary symptoms. Reexamination revealed a 3-cm erythematous, nonfluctuant soft-tissue mass on the back in addition to the scalp lesions and adenopathy. [nejm.org]

  […] features Pulmonary nocardiosis Onset: acute, subacute, or chronic Constitutional symptoms : fever, weight loss, anorexia, night sweats Respiratory symptoms (recurrent pneumonia ): productive cough, dyspnea, pleuritic chest pain The symptoms of fever, chills [amboss.com]

  Pulmonary nocardiosis is the most common, and its symptoms are a lot like ones you might have with pneumonia or tuberculosis : Chest pain Coughing Sweating Chills Feeling weak Lack of appetite Unexplained weight loss Shortness of breath or a hard time [webmd.com]

  Symptoms may include chest pain, cough, bloody sputum, sweats, chills, weakness, lack of appetite, weight loss and difficult or labored breathing. Nocardiosis symptoms are similar to those of pneumonia and tuberculosis. [rarediseases.org]

• Malaise

  The clinical presentations ranged from malaise to respiratory failure. The radiological manifestations varied from a solitary nodule to extensive cavitary bronchopneumonia with distant dissemination. [ncbi.nlm.nih.gov]

  Common symptoms may include: ENTIRE BODY Fever (comes and goes) General ill feeling ( malaise ) Night sweats GASTROINTESTINAL SYSTEM Nausea Liver and spleen swelling ( hepatosplenomegaly ) Loss of appetite Unintentional weight loss Vomiting LUNGS AND [medlineplus.gov]

  Fever, malaise and anorexia. Night sweats. Weight loss. Haemoptysis, chest pain and difficulty in breathing - may also be present but are usually less prominent. [patient.info]

  Pulmonary disease• Pneumonia Subacute(more acute in immunosuppressed) Cough** Small amounts of thick, purulent sputum Fever, anorexia, weight loss, malaise• Endobronchial inflammatory mass• Lung abscess• Cavitary disease• Inadequate therapy Progressive [slideshare.net]

• Hodgkin Lymphoma

  We describe a case of pulmonary infection with Nocardia asteroides in a non-Hodgkin's lymphoma patient. [ncbi.nlm.nih.gov]

  non-Hodgkins lymphoma, glioblastoma multiforme [if ocular involvement]); (9) Kaposi's sarcoma; (10) yaws The differential for pulmonary or disseminated nocardiosis includes: (1) Mycobacterium tuberculosis; (2) deep fungal infections; (3) actinomycosis [dermatologyadvisor.com]

• Cough

  We describe a case report of a patient with culture positive Nocardia asteroides who presented with complaints of cough and expectoration with episodes of haemoptysis and dyspnoea. [ncbi.nlm.nih.gov]

• Dyspnea

  We reported a case of 36 year old immunocompetent non-smoker female patient with no premorbid illness who presented with fever, cough with scanty sputum, hemoptysis, left sided chest pain and exertional dyspnea for two weeks. [ncbi.nlm.nih.gov]

• Hemoptysis

  Pulmonary nocardiosis should be considered in the differential diagnosis of hemoptysis, even in immunocompetent patients. [ncbi.nlm.nih.gov]

  An 18-year-old male presented with cough and expectoration with episodes of hemoptysis for 1-year. Frequency and volume of hemoptysis has increased since last 7 days. [atmph.org]

  The broad range of other symptoms caused by nocardia infection are: seizures hepatitis arthralgia dizziness confusion headache hemoptysis night sweats swollen spleen abdominal pain nausea, vomiting fever may undulate shortness of breath swollen lymph [healthblurbs.com]

  The first case concerns a 24-year old man with a history of smoking and alcoholism, hospitalized for chest pain and hemoptysis of low abundance evolving for two months, associated with the occurrence of dorsal subcutaneous fistulized abscess. [scienceopen.com]

• Productive Cough

  As in any other type of pneumonia, productive cough, pleuritic chest pain, and fever are the dominant symptoms, making it difficult to differentiate from other lung infections. [amboss.com]

  Diagnosis of pulmonary nocardiosis in cases who presented with a short duration of fever and productive cough was often delayed because they were considered to have acute bacterial pneumonia. [ncbi.nlm.nih.gov]

  Critical Essential Core Tested Community Questions (1) (M2.ID.4766) A 28-year-old male presents to the emergency department with fever and cough. He reports that two days ago he developed a productive cough with associated shortness of breath. [medbullets.com]

  She had productive cough with purulent sputum mixed with blood for 12 days. She was apparently normal two weeks back. There was no evidence of immunocompromised status. On admission, she was conscious, oriented, febrile and tachypneic. [ispub.com]

• Chronic Cough

  He was admitted to hospital due to suspicion of relapse of tuberculosis based on chronic cough with alteration of general state and hepatosplenomegaly. Chest CT scan showed alveolar condensations with pleurisy. [scienceopen.com]

  She presented to the hospital with an exacerbated chronic cough that had lasted several months and chronic fever, with no weight loss. Prior to admission, amoxicillin followed by spiramycin therapy was not effective. [err.ersjournals.com]

  The most common symptoms at presentation are chronic cough, chest pain, dyspnoea and haemoptysis. [4] Thus pulmonary nocardiosis can mimic tuberculosis. [jpgmonline.com]

• Chronic Dermatitis

  Hyperimmunoglobulin E syndrome (HIE) is a rare condition characterised by marked elevation of serum IgE level, chronic dermatitis, intense pruritus, and recurrent serious infection. The major organism is usually S aureus. [ncbi.nlm.nih.gov]

• Nocardia Asteroides

  We describe a case report of a patient with culture positive Nocardia asteroides who presented with complaints of cough and expectoration with episodes of haemoptysis and dyspnoea. [ncbi.nlm.nih.gov]

  Keywords: Fungal ball, Nocardia asteroides, pulmonary nocardiosis How to cite this article: Paty BP, Sarangi G, Mohanty DP, Choudhury SR, Mohapatra D, Das SS, Dash D, Chayani N. [atmph.org]

• Nocardia Brasiliensis

  In 1909, Lindenburg first isolated a separate subspecies, N. brasiliensis, from the leg of a Brazilian man. 11 Nocardia brasiliensis is the most common cause of primary cutaneous nocardiosis. 6,7,10,11 It is typically associated with traumatic inoculation [woundsresearch.com]

  Keywords: Immunocompetent, Nocardia brasiliensis, pulmonary How to cite this article: Amatya R, Koirala R, Khanal B, Dhakal S S. Nocardia brasiliensis primary pulmonary nocardiosis with subcutaneous involvement in an immunocompetent patient. [ijmm.org]

  Figure 1 Rough chalky-white colonies of Nocardia brasiliensis grown on Columbia blood agar Table 1 Physiological characteristics and biochemical reactions of our Nocardia brasiliensis isolate Decomposition of: Adenine - Casein + Tyrosine + Xanthine - [ann-clinmicrob.biomedcentral.com]

  The form of lymphocutaneous nocardiosis is rare, being caused especially by Nocardia brasiliensis. [karger.com]

  However, Nocardia brasiliensis causes 3% to 9% and N farcinica is being recognized with increasing frequency ( Marrie, 1994). [biopublisher.ca]

• Gram-Positive Rods

  Gram-stained smears of sputum and pus from the abscess showing branched gram-positive rods led to a diagnosis of pulmonary nocardiosis with dissemination to the lungs and subcutaneous tissues. [ncbi.nlm.nih.gov]

  Gram staining was performed in 29 patients, and a characteristic Gram-positive rod was detected in 28 patients (96.6%). Thirty-one strains of Nocardia were isolated and identified. [jstage.jst.go.jp]

  A sample of bronchial lavage fluid obtained by bronchofiberscopy showed filamentous branching gram-positive rods and acid-fast filamentous branching rods, and a colony of suspected Nocardia was cultured. [jmmcr.microbiologyresearch.org]

• Nocardia Otitidis Caviarum

  A case of mixed infection by Nocardia asteroides and Mycobacterium tuberculosis. Nihon Kokyuki Gakkai Zasshi 2002;40:703-7. Tone A, Matsuo K, Watanabe Y, et al. Pulmonary Nocardia otitidis-caviarum infection in a patient with bronchiectasia. [jtd.amegroups.com]

The patients' characteristics, clinical findings, radiological features, and treatment history were not different between the two groups. [ncbi.nlm.nih.gov]

An evaluation performed two months after the completion of treatment showed no clinical or radiographic evidence of nocardial infection. [nejm.org]

Nocardiosis is an opportunistic infection with unfavourable prognosis and is predominantly seen in immunocompromised patients. [ncbi.nlm.nih.gov]

The acute phase requires complete bed rest; as the patient improves, activity can increase. [1] A new combination drug therapy (sulfonamide, ceftriaxone, and amikacin ) has also shown promise. [10] Prognosis [ edit ] The prognosis of nocardiosis is highly [en.wikipedia.org]

The prognosis can vary with those with disseminated nocardiosis having mortality rates up to 40%. Subtherapeutic levels of antibiotics can result in flare-ups while patients are on treatments. [radiopaedia.org]

This study aimed at describing the clinical characteristics and prognosis of pulmonary nocardiosis. [scienceopen.com]

Etiology Pathogen Nocardia species : ubiquitous in soil worldwide Transmission : inhalation (most common), ingestion, and inoculation through a skin wound or injury Risk factors Immunocompromise ; ( HIV infection, organ transplant, glucocorticoid therapy [amboss.com]

Each part surveys individual infections caused not only by well-known etiologic agents, but also by new and emerging species often taxonomically closely related to a major disea- producing microorganism and until recently not considered to be human pathogens [books.google.com]

The latter, N.brasiliensis, is the most common etiologic agent for skin infections (2). [austincc.edu]

The presence of sulfur granules and filamentous, gram-positive bacteria can point to this etiology. Final diagnosis is made by standard aerobic culture and sensitivity for a total of 5 days. [woundsresearch.com]

Epidemiology References: [1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

The objectives of this study were to better understand the epidemiologic, demographic, clinical, and laboratory information in patients with pulmonary nocardiosis in southern Taiwan. [ncbi.nlm.nih.gov]

Retrieved 2007-07-12. ^ "Dermatologic Manifestations of Nocardiosis: Background, Pathophysiology, Epidemiology". 2016-09-27. 12. https://www.webmd.com/a-to-z-guides/what-is-nocardiosis External links [ edit ] [en.wikipedia.org]

Epidemiological and bacteriological data were analyzed as well. Thirty-three isolates identified as Nocardia sp. and 22 as non-acid-fast bacilli were selected for this study, and represented 0.12% of isolates during the study period. [scienceopen.com]

Gutierrez-Galhardo MC, Freitas DFS, do Valle ACF, Almeida-Paes R, de Oliveira MME, Zancopé-Oliveira RM: Epidemiological aspects of sporotrichosis epidemic in Brazil. Curr Fungal Infect Rep 2015; 9:238–245. [karger.com]

Retrieved 2007-07-12. ^ "Dermatologic Manifestations of Nocardiosis: Background, Pathophysiology, Epidemiology". 2016-09-27. 12. https://www.webmd.com/a-to-z-guides/what-is-nocardiosis External links [ edit ] [en.wikipedia.org]

The previously described pathophysiology of nocardiosis cannot be confirmed. Antibiotic susceptibility of N. cyriacigeorgica showed the usual in vitro effectiveness of cotrimoxazole, imipenem, amikacin and linezolid, but also minocycline [ 3 ]. [err.ersjournals.com]

As new and more powerful immunosuppressive drugs became available, 6 the epidemiological, pathophysiological, and clinical characteristics of opportunistic infections might have changed. [journals.lww.com]

Pathophysiology Nocardia species are facultative intracellular pathogens that gain virulence through evading the host's immune responses. [dermatologyadvisor.com]

The treatment for a minimum of 6 months was appropriate in order to prevent relapse. Poor prognostic factors in nocardiosis were acute infection, Cushing's disease; and disseminated infection involving the central nervous system. [ncbi.nlm.nih.gov]

Preventive measures for Pulmonary Nocardiosis include: Drugs, such as corticosteroids should be used cautiously, at a minimum dose and for a minimum possible period of time Individuals with weak immune systems may require antibiotics to prevent this disease [dovemed.com]

References Centre for Disease Control and Prevention (2013) Nocardiosis. [southerncross.co.nz]