Acute community acquired pneumopathy caused by Nocardia asteroides in a 93-year-old female patient |
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Authors: | Laszlo A Lambert V Michel J P Janssens J P |
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Institution: | Département de Gériatrie, H?pitaux Universitaires de Genève, Route de Mon-Idée, CH-1226 Th?nex/Genève, Suisse. André.Laszlo@hcuge.ch |
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Abstract: | BACKGROUND: Lower respiratory tract infection (LRTI) by Nocardia species is most often considered as an opportunistic infection occurring mainly in middle-aged adults. CASE REPORT: A 93-year old woman without any significant comorbidity other than a mild asthma, presenting with a non-resolving pneumonia, was successfully treated for a community-acquired LRTI by Nocardia asteroides. DISCUSSION: LRTI by Nocardia asteroides is a rare occurrence. Although more frequent in immuno-compromised patients (50 to 85% of cases reported), Nocardia asteroides infection also occurs in immuno-competent individuals. Very few reports describe LRTI infection by Nocardia sp. in the very old, and almost exclusively in patients with major co-morbidities or variable degrees of immuno-suppression. |
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