Keywords
Nocardiosis, Organ Transplant, Pulmonary Lesion, Immunocompromised, brain
Abstract
Nocardiosis is a potentially lethal complication of organ transplantation. Each year, approximately 500 to 1000 cases of nocardiosis are diagnosed in the United States. Nocardiosis commonly occurs in the lung, brain, and heart of transplant recipients. This case describes a 63-year-old male who presents with a solitary brain and multiple pulmonary lesions. Nocardiosis represents a problematic diagnosis due to non-specific symptoms and imitation of more common differentials. Nocardiosis should always be included in the differential diagnosis of any patient who presents with brain, soft tissue, or cutaneous lesions and a concurrent or recent pulmonary lesion. Early detection combined with empiric antibiotic therapy is considered the current standard of care in patients with nocardiosis. We present a case of nocardiosis of the lung with hematogenous spread to the brain in post-transplant patient who responded well to treatment with complete recovery.
Citation
Green C, Palagonia N, Watkins B, Kahler K, Upadhyaya M, et al. (2021) Nocardiosis of the Lung with Hematogenous Spread to the Brain in Post-Transplant Patient: A Case Report and Review of the Literature. SM J Sarcoma Res 5: 4.