Treatment of refractory localized pulmonary nocardiosis caused by Nocardia mexicana with a combination of medication and surgery

This report shows that the treatment with combination of medication and surgery was useful for treating refractory localized pulmonary nocardiosis caused byNocardia mexicana. AbstractPulmonary nocardiosis is a rare disease that is often difficult to cure because of its tendency to recur. Here, we report a case of refractory localized pulmonary nocardiosis caused byNocardia mexicana. A 60-year-old Japanese woman had recurring pulmonary nocardiosis four times previously and each time she was treated with antibiotics for a sufficient duration; nevertheless, the disease continued to recur, probably because of resistance to antibiotics. As a fifth treatment, we performed middle lobe resection and pre- and post-operative antimicrobial therapy for 6  months. The combination of medication and surgery was useful for treating refractory localized pulmonary nocardiosis

Source: Respirology Case Reports - February 9, 2023 Category: Respiratory Medicine Authors: Miwako Kogure, Eri Takase, Aya Fusamoto, Koichi Sato, Yukiko Tsuchihashi, Hirotaka Nakanishi, Takeshi Ikeda, Tomokazu Kuchibiro, Yoshimitsu Hirai, Kuninobu Kanai Tags: CASE REPORT Source Type: research