Disseminated nocardia pseudobrasiliensis in a renal transplant recipient

Jeana L. Benwill, Vicki J. Schnadig, Lucas Blanton

Research output: Contribution to journalArticle

Abstract

Nocardia are aerobic actinomycetes that cause localized and disseminated disease in both immunocompetent and immunosuppressed individuals. Nocardia pseudobrasiliensis is a recently recognized nocardial species associated with invasive manifestations of disease. We herein describe a case of disseminated N pseudobrasiliensis involving the central nervous system, lungs, thyroid, skin, and soft tissue of a renal transplant recipient. Diagnosis proved challenging owing to inconsistent staining of the cell wall with routine stains and poor growth in culture media. The patient improved with appropriate antibiotic therapy, but she was left with paraplegia. Recognition of N pseudobrasiliensis as an emerging opportunistic pathogen is imperative in the care of at risk transplant recipients.

Original languageEnglish (US)
Pages (from-to)272-274
Number of pages3
JournalInfectious Diseases in Clinical Practice
Volume21
Issue number4
DOIs
StatePublished - Jul 2013

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Keywords

  • Nocardia pseudobrasiliensis
  • Nocardiosis
  • Renal transplantation

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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