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Infection Caused by Nocardia farcinica Mimicking Pulmonary Metastasis in an Adolescent Girl

Babayigit, Arzu MD*; Olmez, Duygu MD*; Sozmen, Sule C. MD*; Makay, Balahan MD*; Uzuner, Nevin MD*; Karaman, Ozkan MD*; Anal, Ozden MD*; Gulay, Zeynep MD

doi: 10.1097/PEC.0b013e3181d1e3f7
Illustrative Cases
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Nocardia farcinica infections are rare and potentially life threatening. Herein, we describe a case of pulmonary nocardiosis caused by N. farcinica. This 13-year-old girl admitted with 1-year history of cough, intermittent fever, and recurrent hemoptysis. She was examined for multiple pulmonary nodules mimicking pulmonary metastasis that were detected with chest radiography and computed tomography of the thorax. Eventually, N. farcinica was yielded in culture of sputum and aspiration material of pulmonary nodules. No predisposing factor could be shown for Nocardia infection. Although infections caused by N. farcinica have tendency to disseminate, and are mostly resistant to antibiotics, the patient was successfully treated with prolonged intravenous antibiotic therapy followed with oral amoxicillin-clavulanate.

From the Departments of *Pediatrics, and †Microbiology, Dokuz Eylul University Hospital, Balcova, Izmir, Turkey.

Reprints: Arzu Babayigit, MD, Division of Allergy, Department of Pediatrics, Dokuz Eylul University Hospital, Balcova, 35340, Izmir, Turkey (e-mail: arbabayigit@yahoo.com).

© 2010 Lippincott Williams & Wilkins, Inc.