Pulmonary nocardiosis concurrent with Pneumocystic carinii pneumonia in a case of smoldering adult T-cell leukemia

I. Owan, I. Sugama, A. Nakamoto, Nobuchika Kusano, H. Fukuhara, H. Kaneshima, A. Saito

Research output: Contribution to journalArticle

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Abstract

A 76-year-old man, with concomitant pulmonary nocardiosis and Pneumocystis carinii (PC) pneumonia, is described. He suffered from smoldering type adult T-cell leukemia and strongyloidiasis. Chest X-rays showed bilateral infiltrative shadows. Nocardia asteroides was isolated from sputum and bronchofiberoscopic aspirates. PC was not detected, however, despite the chest X-ray raising the suspicion of PC pneumonia. Since PC antigen was detected by immunoelectrophoresis in the absence of other clinical or histologic data, we diagnosed a latent PC infection. He improved with the use of cefuzonam and ST compounds, but experienced recurrence five months after discharge. N. asteroides and PC were detected from sputum on the second admission. As multiple concurrent infections with opportunistic organisms are not uncommon in immunocompromised hosts, we must maintain a high index of suspicion for opportunistic infection in cases such as this one.

Original languageEnglish
Pages (from-to)581-586
Number of pages6
JournalJapanese Journal of Thoracic Diseases
Volume32
Issue number6
Publication statusPublished - 1994
Externally publishedYes

Fingerprint

Nocardia Infections
Pneumocystis carinii
Adult T Cell Leukemia Lymphoma
Nocardia asteroides
Pneumonia
Pneumocystis Pneumonia
Opportunistic Infections
Sputum
Thorax
X-Rays
Pneumocystis Infections
Strongyloidiasis
Immunoelectrophoresis
Immunocompromised Host
Antigens
Recurrence

Keywords

  • adult T-cell leukemia
  • Pneumocystis carinii pneumonia
  • pulmonary nocardiosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Pulmonary nocardiosis concurrent with Pneumocystic carinii pneumonia in a case of smoldering adult T-cell leukemia. / Owan, I.; Sugama, I.; Nakamoto, A.; Kusano, Nobuchika; Fukuhara, H.; Kaneshima, H.; Saito, A.

In: Japanese Journal of Thoracic Diseases, Vol. 32, No. 6, 1994, p. 581-586.

Research output: Contribution to journalArticle

Owan, I, Sugama, I, Nakamoto, A, Kusano, N, Fukuhara, H, Kaneshima, H & Saito, A 1994, 'Pulmonary nocardiosis concurrent with Pneumocystic carinii pneumonia in a case of smoldering adult T-cell leukemia', Japanese Journal of Thoracic Diseases, vol. 32, no. 6, pp. 581-586.
Owan, I. ; Sugama, I. ; Nakamoto, A. ; Kusano, Nobuchika ; Fukuhara, H. ; Kaneshima, H. ; Saito, A. / Pulmonary nocardiosis concurrent with Pneumocystic carinii pneumonia in a case of smoldering adult T-cell leukemia. In: Japanese Journal of Thoracic Diseases. 1994 ; Vol. 32, No. 6. pp. 581-586.
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