Affiliation:
1. Department of Respiratory Medicine Naga Municipal Hospital Kinokawa Wakayama Japan
2. Department of Breast and General Thoracic Surgery Naga Municipal Hospital Kinokawa Wakayama Japan
3. Department of Clinical Laboratory Naga Municipal Hospital Kinokawa Wakayama Japan
Abstract
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 by Nocardia 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
Subject
Pulmonary and Respiratory Medicine