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Vol. 15. Issue 6.
Pages 1199-1204 (November - December 2009)
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Vol. 15. Issue 6.
Pages 1199-1204 (November - December 2009)
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Nocardiose torácica
Thoracic nocardiosis
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856
Cidália Rodrigues1, Teresa Costa1, Vitória Martins1, Fernando Matos2, Jorge Pires3
1 Interna do Complementar de Pneumologia
2 Assistente Hospitalar Graduada de Pneumologia
3 Serviço de Pneumologia, Centro Hospitalar de Coimbra, Quinta dos Vales, São Martinho do Bispo, 3046-853 Coimbra
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Abstract
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Resumo

A nocardiose é uma infecção oportunista, que ocorre sobretudo em indivíduos imunocomprometidos. A apresentação pulmonar é a mais frequente, no entanto pode atingir e disseminar-se para outros locais do organismo. O tratamento antibiótico é habitualmente prolongado, de forma a evitar recidivas.

Os autores apresentam o caso clínico de um doente a fazer terapêutica imunossupressora prolongada por artrite psoriática, com queixas de toracalgia direita com um mês de evolução.

Palavras-chave:
Nocardiose
infecção oportunista
imunocomprometido
Abstract

Nocardiosis is an opportunistic infection which occurs mostly in immunocompromised individuals. Pulmonary presentation is the most frequent; however it can affect other parts of the body. Antibiotic treatment is usually prolonged to avoid relapses. The authors present a case report of a patient under prolonged immunosuppressive therapy for psoriatic arthritis, with complaints of right chest pain with one month of evolution.

Key-words:
Nocardiosis
opportunistic infection
immunocompromised
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Bibliografia
[1.]
B.G. Baldi, A.N. Santana, T.Y. Takagaki.
Nocardiose pulmonar e cutânea em paciente usuário de corticoesteróide.
J Bras Pneumol, 32 (2006), pp. 592-595
[2.]
M.E. Corti, M.F. Villafane-Fiotti.
Nocardiosis: review.
Int J Infect Dis, 7 (2003), pp. 243-250
[3.]
Fauci AS, et al. Nocardiosis, Harrison's principles of internal medicine, 17th ed.. Section 7:155.
[4.]
Lino A. Nocardiose. Tratado de Pneumologia, Vol. I: 490-493.
[5.]
P. Mootsikapun, B. Intarapoka, W. Liawnoraset.
Nocardiosis in Srinagarind Hospital, Thailand. Review of 70 cases from 1996–2001.
Int J Infect Dis, 9 (2005), pp. 154-158
Copyright © 2009. Sociedade Portuguesa de Pneumologia
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