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Published in: Internal and Emergency Medicine 3/2019

01-04-2019 | IM - CASE RECORD

An unusual calf lesion in an immunocompromised patient

Authors: Maddalena Gili, Flavia Chiacchiarini, Stefania Morra di Cella, Elisabetta Baglioni, Maria Felice Brizzi, Francesco Giuseppe De Rosa, Massimo Porta

Published in: Internal and Emergency Medicine | Issue 3/2019

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Excerpt

Dear colleagues, we present today a rare infection developed in an immunocompromised patient, which represented a diagnostic challenge while admitted to our internal medicine ward. Dr. Gili, will you please describe the patient? …
Literature
1.
go back to reference Pieralli F, Corbo L, Torrigiani A, Mannini D, Antonielli E, Mancini A, Corradi F, Arena F, Moggi Pignone A, Morettini A, Nozzoli C, Rossolini GM (2017) Usefulness of procalcitonin in differentiating Candida and bacterial blood stream infections in critically ill septic patients outside the intensive care unit. Int Emerg Med 12:629–635CrossRef Pieralli F, Corbo L, Torrigiani A, Mannini D, Antonielli E, Mancini A, Corradi F, Arena F, Moggi Pignone A, Morettini A, Nozzoli C, Rossolini GM (2017) Usefulness of procalcitonin in differentiating Candida and bacterial blood stream infections in critically ill septic patients outside the intensive care unit. Int Emerg Med 12:629–635CrossRef
2.
go back to reference McHugh KE, Sturgis CD, Procop GW, Rhoads DD (2017) The cytopathology of Actinomyces, Nocardia, and their mimickers. Diagn Cytopathol 45:1105–1115CrossRefPubMed McHugh KE, Sturgis CD, Procop GW, Rhoads DD (2017) The cytopathology of Actinomyces, Nocardia, and their mimickers. Diagn Cytopathol 45:1105–1115CrossRefPubMed
3.
go back to reference Sullivan DC, Chapman SW (2010) Bacteria that masquerade as fungi: actinomycosis/nocardia. Proc Am Thorac Soc 7:216–221CrossRefPubMed Sullivan DC, Chapman SW (2010) Bacteria that masquerade as fungi: actinomycosis/nocardia. Proc Am Thorac Soc 7:216–221CrossRefPubMed
6.
go back to reference Abreu C, Rocha-Pereira N, Sarmento A, Magro F (2015) Nocardia infections among immunomodulated inflammatory bowel disease patients: a review. World J Gastroenterol 21:6491–6498CrossRefPubMedPubMedCentral Abreu C, Rocha-Pereira N, Sarmento A, Magro F (2015) Nocardia infections among immunomodulated inflammatory bowel disease patients: a review. World J Gastroenterol 21:6491–6498CrossRefPubMedPubMedCentral
7.
go back to reference Agterof MJ, van der Bruggen T, Tersmette M, ter Borg EJ, van den Bosch JM, Biesma DH (2007) Nocardiosis: a case series and a mini review of clinical and microbiological features. Neth J Med 65:199–202PubMed Agterof MJ, van der Bruggen T, Tersmette M, ter Borg EJ, van den Bosch JM, Biesma DH (2007) Nocardiosis: a case series and a mini review of clinical and microbiological features. Neth J Med 65:199–202PubMed
8.
go back to reference Kurahara Y, Tachibana K, Tsuyuguchi K, Akira M, Suzuki K, Hayashi S (2014) Pulmonary nocardiosis: a clinical analysis of 59 cases. Respir Investig 52:160–166CrossRefPubMed Kurahara Y, Tachibana K, Tsuyuguchi K, Akira M, Suzuki K, Hayashi S (2014) Pulmonary nocardiosis: a clinical analysis of 59 cases. Respir Investig 52:160–166CrossRefPubMed
10.
go back to reference Valdezate S, Garrido N, Carrasco G, Villalón P, Medina-Pascual MJ, Saéz-Nieto JA (2015) Resistance gene pool to co-trimoxazole in non-susceptible Nocardia strains. Front Microbiol 6:376CrossRefPubMedPubMedCentral Valdezate S, Garrido N, Carrasco G, Villalón P, Medina-Pascual MJ, Saéz-Nieto JA (2015) Resistance gene pool to co-trimoxazole in non-susceptible Nocardia strains. Front Microbiol 6:376CrossRefPubMedPubMedCentral
11.
go back to reference Brown-Elliott BA, Biehle J, Conville PS, Cohen S, Saubolle M, Sussland D, Wengenack N, Kriel K, Bridge L, McNulty S, Vasireddy R, Wallace RJ Jr (2012) Sulfonamide resistance in isolates of Nocardia spp. from a US multicenter survey. J Clin Microbiol 50:670–672CrossRefPubMedPubMedCentral Brown-Elliott BA, Biehle J, Conville PS, Cohen S, Saubolle M, Sussland D, Wengenack N, Kriel K, Bridge L, McNulty S, Vasireddy R, Wallace RJ Jr (2012) Sulfonamide resistance in isolates of Nocardia spp. from a US multicenter survey. J Clin Microbiol 50:670–672CrossRefPubMedPubMedCentral
12.
go back to reference De La Cruz O, Minces LR, Silveira FP (2015) Experience with linezolid for the treatment of nocardiosis in organ transplant recipients. J Infect 70:44–51CrossRef De La Cruz O, Minces LR, Silveira FP (2015) Experience with linezolid for the treatment of nocardiosis in organ transplant recipients. J Infect 70:44–51CrossRef
13.
go back to reference Xu Q, Zhan R, Feng Y, Chen J (2015) Successful treatment of multifoci nocardial brain abscesses: a case report and literature review. Medicine (Baltimore) 94:e848CrossRef Xu Q, Zhan R, Feng Y, Chen J (2015) Successful treatment of multifoci nocardial brain abscesses: a case report and literature review. Medicine (Baltimore) 94:e848CrossRef
14.
go back to reference Moylett EH, Pacheco SE, Brown-Elliott BA, Perry TR, Buescher ES, Birmingham MC, Schentag JJ, Gimbel JF, Apodaca A, Schwartz MA, Rakita RM, Wallace RJ Jr (2003) Clinical experience with linezolid for the treatment of nocardia infection. Clin Infect Dis 36:313–318CrossRefPubMed Moylett EH, Pacheco SE, Brown-Elliott BA, Perry TR, Buescher ES, Birmingham MC, Schentag JJ, Gimbel JF, Apodaca A, Schwartz MA, Rakita RM, Wallace RJ Jr (2003) Clinical experience with linezolid for the treatment of nocardia infection. Clin Infect Dis 36:313–318CrossRefPubMed
Metadata
Title
An unusual calf lesion in an immunocompromised patient
Authors
Maddalena Gili
Flavia Chiacchiarini
Stefania Morra di Cella
Elisabetta Baglioni
Maria Felice Brizzi
Francesco Giuseppe De Rosa
Massimo Porta
Publication date
01-04-2019
Publisher
Springer International Publishing
Published in
Internal and Emergency Medicine / Issue 3/2019
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-018-1878-y

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