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Rev Port Cir Cardiotorac Vasc ; 21(1): 37-41, 2014.
Artigo em Português | MEDLINE | ID: mdl-25596394

RESUMO

Nocardia genus microorganisms are ubiquitous, Gram positive aerobic bacterias, responsible for disease mainly in immunocompromised hosts, with cellular immune response commitment. Inhalation is the main form of transmition and pulmonary disease is the most frequent presentation. Dissemination may occur by contiguity and also via hematogenous. The clinical and imaging presentation is not specific, and diagnosis is obtained after identification of Nocardia bacteria in biological samples. Since there are no reliable studies that indicate the best therapeutic option, treatment should be individualized and based on antimicrobial susceptibility testing. Surgical drainage should also be considered in all patients. The authors present a clinical case of a patient with thoracic nocardiosis, and make a short literature review on the theme.


Assuntos
Abscesso , Empiema Pleural , Nocardiose , Parede Torácica , Abscesso/diagnóstico por imagem , Abscesso/tratamento farmacológico , Empiema Pleural/diagnóstico por imagem , Empiema Pleural/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Nocardiose/diagnóstico por imagem , Nocardiose/tratamento farmacológico , Radiografia
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