Disseminated nocardiosis misdiagnosed of recurrence of pulmonary tuberculosis: one case report and literature review
Song Man
Li Xiaoyun
Zhu Guangfa
Wang Aiping
Abstract：Objective To analyze causes of misdiagnosis and clinical features of disseminated nocardiosis.Methods One case of patient with disseminated nocardiosis who was admitted in Beijing Anzhen Hospital,Capital Medical University on June 26,2015 was analyzed.Clinical diagnosis and misdiagnosis,and treatment was analyzed based on literature review.Results The patient had a history of tuberculosis;chest CT showed left lung patchy shadows and pleural effusion;adenosine dehydrogenase (ADA) was 62.6-76.4 U/L.The patient's symptoms were relieved after anti-tuberculosis therapy and recurred.A large number of gram-positive nocardia were detected in wound secretion,sputum,pleural effusion,blood and faeces samples.Conclusion Pulmonary nocardiosis has no specific clinical and imaging manifestations;patients with tuberculosis history and high ADA in pleural effusion can be easily misdiagnosed of tuberculous.
Keywords：Disseminated nocardiosisMisdiagnosisTuberculosis
Publication Date：2017-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1157-1160 )