Severe pneumonia due to Nocardia otitidiscaviarum identified by mass spectroscopy in a cotton farmer: A case report and literature review.
Chen Liu, Mei Feng, Jing Zhu, Ye Tao, Mei Kang, Lei Chen
Author Information
Chen Liu: Department of Nephrology Department of Respiratory and Critical Care Medicine Department of Laboratory Medicine, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, P.R. China.
RATIONALE: Nocardia species are aerobic saprophytic bacilli. Among Nocardia species, Nocardia otitidiscaviarum (N otitidiscaviarum) is rarely reported in pulmonary infection. patient CONCERNS: We reported a case of N otitidiscaviarumpneumonia in a cotton farmer. DIAGNOSES: N otitidiscaviarumpneumonia was identified by mass spectroscopy. INTERVENTIONS: Combined treatments (amikacin, imipenem and trimethoprim-sulfamethoxazole) were administered after identification of N otitidiscaviarum. OUTCOMES: The patient eventually died from severe respiratory insufficiency in the hospital. LESSONS: Early precise diagnosis and prompt combined therapy are of vital importance in severe Nocardiapulmonary infection.
