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Radiologia Brasileira

versão On-line ISSN 1678-7099

Resumo

SILVA, Ana Carina Gamboa da; MARTINS, Erick Malheiro Leôncio; MARCHIORI, Edson  e  TORRES NETO, Gilberto. Pulmonary nocardiosis in a patient with acquired immunodeficiency syndrome: case report. Radiol Bras [online]. 2002, vol.35, n.4, pp.235-238. ISSN 1678-7099.  http://dx.doi.org/10.1590/S0100-39842002000400011.

The authors describe a case of pulmonary nocardiosis in a 37-year-old man with acquired immunodeficiency syndrome in treatment with antiretroviral drugs. Clinical symptoms were productive cough, hemoptysis and progressive weight loss. A chest x-ray film showed a right upper lobe consolidation while the computed tomography demonstrated consolidation and areas of cavitation. The radiologic findings were unspecific. Consequently, a bronchoscopy with bronchoalveolar lavage was performed, revealing filamentous Gram-positive bacteria (Nocardia sp). Treatment with trimethoprim-sulfamethoxazole resulted in complete remission of the respiratory symptoms. The authors review the literature and discuss the main radiological features of this disease.

Palavras-chave : Radiology; Pulmonary nocardiosis; Computed tomography.

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