Pulmonary Nocardiosis and Cryptococcosis Co-Infection in First Diagnosis of HIV Infection A Case Report

被引:0
作者
Ungthammakhun, Chutchawan [1 ]
Nasomsong, Worapong [1 ]
Chueansuwan, Worawong [1 ]
Traipattanakul, Junthima [1 ]
Changpradub, Dhitiwat [1 ]
Wongchansom, Kittisak [2 ]
机构
[1] Phramongkutklao Hosp, Div Infect Dis, Dept Med, 315 Ratchawithi Rd, Bangkok 10400, Thailand
[2] Army Inst Pathol, Dept Pathol, Bangkok, Thailand
关键词
pulmonary nocardiosis; pulmonary cryptococcosis; co-infection among patients with HIV;
D O I
10.1097/IPC.0000000000000934
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Pulmonary infections among patients with acquired immunodeficiency syndrome (AIDS) may be caused by more than 1 organism. Pulmonary nocardiosis co-infection with cryptococcosis among patients with AIDS was extremely rare and has never been reported. Here, we report a case of pulmonary co-infection with nocardiosis and cryptococcosis in a 54-year-old HIV-positive man presenting productive cough and constitutional symptoms. Bronchoalveolar lavage and lung biopsy culture were positive for Nocardia species and Cryptococcus neoformans. The patient was treated with cotrimoxazole plus ceftriaxone for Nocardia species and fluconazole for C. neoformans. Etiology of pulmonary infections among patients with AIDS may be caused by multiple organisms. Among patients with AIDS having chest radiographic abnormality, an aggressive diagnostic approach should be warranted to accurately diagnose and appropriately manage.
引用
收藏
页码:E118 / E120
页数:3
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