Unusual mixed infection of thoracic empyema caused by Mycobacteria tuberculosis, nontuberculosis mycobacteria and Nocardia asteroides in a woman with systemic lupus erythematosus

The Journal of Infection
Heng-Ching HuangHe-Hsiung Cheng

Abstract

We report a 45-year-old woman of systemic lupus erythematosus (SLE) with thoracic empyema that was unusually infected by Mycobacterium tuberculosis (MTB), Nontuberculosis mycobacteria (NTM) concomitant with Nocardia asteroides. After a combined treatment of cotrimoxazole, clarithromycin and anti-tuberculosis drugs with a short-term of intravenous immunoglobulin (IVIG), the patient recovered from the critical illness. On the basis of the results in this case, we recommend a thorough survey of the probably concomitant infections of MTB and NTM in an immunocompromised patient with a known N. asteroid infection. In addition, an adjuvant intravenous immunoglobulin therapy may have beneficial effect in the control of infections in an SLE patient.

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Citations

May 23, 2012·The American Journal of Medicine·Giovanni FerraraMarkus Maeurer
Jun 2, 2009·Rheumatic Diseases Clinics of North America·Raquel Cuchacovich, Abraham Gedalia
Jul 7, 2011·The Journal of Dermatology·Emiko AkasakaYuzuru Mikami
Mar 2, 2010·Arthritis Care & Research·Hamid Bashir, Prabha Ranganathan
Feb 10, 2017·The Korean Journal of Thoracic and Cardiovascular Surgery·Sungmin SohnKyoung Taek Park
May 11, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·T Radha Bai PrabhuM S Jawahar
Nov 12, 2015·Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases·Koichiro SuemoriMasaki Yasukawa

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