Revista do Instituto de Medicina Tropical de São Paulo
versão impressa ISSN 0036-4665
SEVERO, Cecília Bittencourt et al. Disseminated nocardiosis due to Nocardia farcinica: diagnosis by thyroid abscess culture. Rev. Inst. Med. trop. S. Paulo [online]. 2005, vol.47, n.6, pp. 355-358. ISSN 0036-4665. http://dx.doi.org/10.1590/S0036-46652005000600009.
A previously healthy 75-year-old white male dentist presented with a 6-month history of low-back pain treated with chronic steroid therapy had a Nocardia farcinica infection diagnosed by aspirate of thyroid abscess and six blood cultures. Despite the treatment with parenteral combination of trimethoprim/sulfamethoxazole, the patient failed to respond and died after two days of therapy. Autopsy revealed disseminated nocardiosis, involving lungs with pleural purulent exudate in both sides, heart, thyroid, kidneys, brain, bones, and lumbosacral soft tissue with destruction of L2-L4.
Palavras-chave : Nocardia; Nocardia farcinica; Thyroiditis; Disseminated nocardiosis; Bacteremia; Osteomyelitis; Psoas Abscess.