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Severe pneumonia due to Nocardia otitidiscaviarum identified by mass spectroscopy in a cotton farmer: A case report and literature review.
Medicine (Baltimore) 2017 March
RATIONALE: Nocardia species are aerobic saprophytic bacilli. Among Nocardia species, Nocardia otitidiscaviarum (N otitidiscaviarum) is rarely reported in pulmonary infection.
PATIENT CONCERNS: We reported a case of N otitidiscaviarum pneumonia in a cotton farmer.
DIAGNOSES: N otitidiscaviarum pneumonia was identified by mass spectroscopy.
INTERVENTIONS: Combined treatments (amikacin, imipenem and trimethoprim-sulfamethoxazole) were administered after identification of N otitidiscaviarum.
OUTCOMES: The patient eventually died from severe respiratory insufficiency in the hospital.
LESSONS: Early precise diagnosis and prompt combined therapy are of vital importance in severe Nocardia pulmonary infection.
PATIENT CONCERNS: We reported a case of N otitidiscaviarum pneumonia in a cotton farmer.
DIAGNOSES: N otitidiscaviarum pneumonia was identified by mass spectroscopy.
INTERVENTIONS: Combined treatments (amikacin, imipenem and trimethoprim-sulfamethoxazole) were administered after identification of N otitidiscaviarum.
OUTCOMES: The patient eventually died from severe respiratory insufficiency in the hospital.
LESSONS: Early precise diagnosis and prompt combined therapy are of vital importance in severe Nocardia pulmonary infection.
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