2026, Number 2
Beyond the lung: disseminated nocardiosis in a kidney transplant recipient
Bautista-Reyes E, Alvarado-Robles LM, Moragrega-Urías RA, Palacios-Rojas AD, Matias-Carmona M, Chacón-Hernández SE, Cano-Cervantes JH, Fernández-Vivar C
Language: Spanish
References: 7
Page: 86-88
PDF size: 1093.16 Kb.
ABSTRACT
Introduction: disseminated nocardiosis is a rare and potentially fatal opportunistic infection in kidney transplant recipients. Case presentation: a 31-year-old man with a kidney transplant presented with recurrent cytomegalovirus (CMV) infection. He had a chronic cough, a pulmonary mass, osteomyelitis, and cerebral microabscesses. Isolation of Nocardia brasiliensis in multiple cultures confirmed the diagnosis. He received trimethoprim/sulfamethoxazole and linezolid, with clinical and graft function improvement. Conclusions: nocardiosis should be suspected in transplant recipients with persistent pulmonary lesions and multisystem involvement.REFERENCES
Restrepo A, Clark NM; Infectious Diseases Communityof Practice of the American Society of Transplantation.Nocardia infections in solid organ transplantation: guidelinesfrom the Infectious Diseases Community of Practice of theAmerican Society of Transplantation. Clin Transplant. 2019;33 (9): e13509. doi: 10.1111/ctr.13509.