Revista da Sociedade Brasileira de Medicina Tropical ()

Nocardia nova causing empyema necessitatis afterlung re-transplantation: a case report

  • Cecília Bittencourt Severo,
  • Letícia Beatriz Matter,
  • Flávio de Mattos Oliveira,
  • Agueda Palmira Castagna Vargas,
  • Sadi Marcelo Schio,
  • José de Jesus Peixoto Camargo,
  • Bruno Hochhegger,
  • Luiz Carlos Severo

DOI
https://doi.org/10.1590/0037-8682-0331-2015
Journal volume & issue
Vol. 49, no. 4
pp. 523 – 526

Abstract

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Abstract: We report herein a case of thoracic infection due to Nocardia nova following lung re-transplantation performed for emphysema related to alpha-1-antitrypsin deficiency. The infection extended from the lung into the pleural space, thoracic wall, and mediastinum, presenting as pericarditis and empyema necessitatis. Nocardia nova was identified by 16S ribosomal deoxyribonucleic acid (rDNA) sequencing and phylogenetic analysis. According to a literature search of PubMed, LILACS and MEDLINE databases, we describe herein the first case of empyema necessitatis caused by N. nova species in a transplanted patient.

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