�mm�ns�presif bir hastada a��klanamayan plevral infeksiyon: Nocardiozis

G�ker, Gamze; Erbaycu, Ahmet Emin; Gayaf, Mine; Alizoro�lu, Dursun; G�rsoy, Soner; Demirel, Mete

Cilt : 13 Say� : 3 Y�l : 2024

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�mm�ns�presif bir hastada a��klanamayan plevral infeksiyon: Nocardiozis [Respir Case Rep]

Respir Case Rep. 2018; 7(2): 127-130 | DOI: 10.5505/respircase.2018.10337

�mm�ns�presif bir hastada a��klanamayan plevral infeksiyon: Nocardiozis

Gamze G�ker¹, Ahmet Emin Erbaycu¹, Mine Gayaf¹, Dursun Alizoro�lu¹, Soner G�rsoy², Mete Demirel³
¹�zmir Dr Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim ve Ara�t�rma Hastanesi, G��s Hastal�klar� Klini�i, �zmir
²�zmir Dr Suat Seren G��s Hastal�klar� Ve Cerrahisi E�itim Ve Ara�t�rma Hastanesi, G��s Cerrahisi Klini�i, �zmir
³�zmir Dr Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim ve Ara�t�rma Hastanesi, Mikrobiyoloji B�l�m�, �zmir

Plevral Nocardiosis nadir bir plevral tutulumdur ve genellikle akci�er parankim tutulumu ile birliktedir. Sunulan hasta temporal arterit nedeniyle uzun s�reli sistemik kortikosteroid tedavisi alm��t�r. Tedavisi halen s�rerken plevral s�v�n�n te�hisi i�in klini�imize y�nlendirilmi�tir. Plevral s�v�n�n k�lt�r�nde Nocardia �remesi �zerine trimetoprim-sulfametaksazol tedavisi ba�lanm��t�r. Tedavi ile klinik ve radyolojik iyile�me g�zlenmi�tir. Plevral Nocardiozis, imm�ns�prese hastalarda nedeni a��klanamayan plevral s�v�lar�n ay�r�c� tan�s�nda akla getirilmelidir.

Anahtar Kelimeler: Plevral nocardiozis, plevral s�v�, kortikosteroid, imm�ns�presyon.

Unexplained Pleural Infection in an Immunosuppressive Patient: Nocardiosis

Gamze G�ker¹, Ahmet Emin Erbaycu¹, Mine Gayaf¹, Dursun Alizoro�lu¹, Soner G�rsoy², Mete Demirel³
¹The Department Of Chest Diseases, �zmir Training And Research Hospital For Thoracic Medicine And Surgery, �zmir, Turkey
²The Department Of Chest Surgery, Izmir Training And Research Hospital For Thoracic Medicine And Surgery, Izmir, Turkey
³The Department Of Microbiology, Izmir Training And Research Hospital For Thoracic Medicine And Surgery, Izmir, Turkey

Pleural involvement in nocardiosis is rare and usually accompanies pulmonary paranchymal involvement. In the case presented here, the patient had been treated with a systemic corticosteroid for a long time for temporal arteritis. He was continuing the treatment when he was referred to our clinic for a diagnosis of the pleural disease. Following a positive pleural culture result for Nocardia, trimethoprim/sulfamethoxazole treatment was initiated. Clinical and radiological improvement was observed with treatment. Pleural nocardiosis should be kept in mind in the differential diagnosis of cases of pleural effusion with an unknown origin, particularly among immunosuppressed patients.

Keywords: Pleural nocardiosis, pleural effusion, corticosteroid, immunsupression.

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Ahmet Emin Erbaycu, T�rkiye
Makale Dili: T�rk�e

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