Case Report
The Journal of the Korean Rheumatism Association 2006; 13(4): 327-332
Published online December 30, 2006
© Korean College of Rheumatology
루푸스신염 환자에서 발생한 Nocardia farcinica 근육 내 농양과 폐결핵 동시감염 1예
백유흠*·김윤정*,**·이학현*·염지연*·권오완*·김지현*·김석환*·강창남***·김상헌*·최태열†·배상철*,**
한양대학교 의과대학 내과학교실*, 류마티스병원 류마티스내과**, 정형외과***, 진단검사의학과†
A Case of Intramuscular Abscess Caused by Nocardia farcinica in a Patient with Lupus Nephritis Concurrent with Pulmonary Tuberculosis
Correspondence to : Sang-Cheol Bae
Nocardiosis is usually a subacute infection, which can occur as an opportunistic infections in patients with systemic lupus erythematosus. There are rare cases of nocardiosis concurrent with Mycobacterium tuberculosis. We report a case of intramuscular nocardial abscess concurrent with pulmonary tuberculosis in a patient with lupus nephritis. She has received cyclophosphamide pulse therapies and is receiving oral steroid therapy 3 months ago. After Nocardia farcinica and Mycobacterium tuberculosis were confirmed by PCR and PCR-RFLP, we initiated trimethoprim/ sulfamethoxazole and antituberculous agents. After then, patient was improved and discharged, maintaining the medications.
Keywords Systemic lupus erythematosus, Lupus nephritis, Nocardia, Pulmonary tuberculosis
PDF
Standard view
Export citation
Share Article
Case Report
The Journal of the Korean Rheumatism Association 2006; 13(4): 327-332
Published online December 30, 2006
Copyright © Korean College of Rheumatology.
루푸스신염 환자에서 발생한 Nocardia farcinica 근육 내 농양과 폐결핵 동시감염 1예
백유흠*·김윤정*,**·이학현*·염지연*·권오완*·김지현*·김석환*·강창남***·김상헌*·최태열†·배상철*,**
한양대학교 의과대학 내과학교실*, 류마티스병원 류마티스내과**, 정형외과***, 진단검사의학과†
A Case of Intramuscular Abscess Caused by Nocardia farcinica in a Patient with Lupus Nephritis Concurrent with Pulmonary Tuberculosis
Yoo-Hum Baek, M.D.*, Yoon-Jeong Kim, M.D.*,**, Hak-Hyun Lee, M.D.*, Ji-Youn Youm, M.D.*, Oh-Wan Kwon, M.D.*, Jee-Hyun Kim, M.D.*, Seok-Hwan Kim, M.D.*, Chang-Nam Kang, M.D.***, Sang-Heon Kim, M.D.*, Tae-Yeal Choi, M.D.†, Sang-Cheol Bae, M.D.*,**
Department of Internal Medicine*, Division of Rheumatology, The Hospital for Rheumatic Diseases**, Department of Orthopedic Surgery***, Department of Laboratory Medicine†, Hanyang University College of Medicine, Seoul, Korea
Correspondence to:Sang-Cheol Bae
Abstract
Nocardiosis is usually a subacute infection, which can occur as an opportunistic infections in patients with systemic lupus erythematosus. There are rare cases of nocardiosis concurrent with Mycobacterium tuberculosis. We report a case of intramuscular nocardial abscess concurrent with pulmonary tuberculosis in a patient with lupus nephritis. She has received cyclophosphamide pulse therapies and is receiving oral steroid therapy 3 months ago. After Nocardia farcinica and Mycobacterium tuberculosis were confirmed by PCR and PCR-RFLP, we initiated trimethoprim/ sulfamethoxazole and antituberculous agents. After then, patient was improved and discharged, maintaining the medications.
Keywords: Systemic lupus erythematosus, Lupus nephritis, Nocardia, Pulmonary tuberculosis
Article Tools
Stats or Metrics
Share this article on
Related articles in JRD
-
Pulmonary Nocardiosis in a Patient with Lupus Nephritis
Sun-Joo Chang, M.D.*, Kang-Nyoung Lee, M.D.*, Yoon-Kyoung Sung, M.D., Hye-Soon Lee, M.D., Wan-Sik Uhm, M.D., Tae-Hwan Kim, M.D., Jae-Bum Jun, M.D., Hyun-Joo Pai, M.D.*, Sang-Cheol Bae, M.D., Seok-Chol Jeon, M.D.**, Dae-Hyun Yoo, M.D.
The Journal of the Korean Rheumatism Association 2005; 12(1): 47-51 -
Lupus nephritis presenting with massive ascites and pleural effusion (pseudo-pseudo Meigs’ syndrome)
Rabia Deniz, M.D., Ph.D., Gülşah Hacımurtazaoğlu-Demir, M.D., Bilgin Karaalioğlu, M.D., Duygu Sevinç Özgür, M.D., Gamze Akkuzu, M.D., Fatih Yıldırım, M.D., Cemal Bes, M.D.
J Rheum Dis 2024; 31(2): 116-119 -
Predictive Factors for Renal Response in Lupus Nephritis: A Single-center Prospective Cohort Study
Dae Jin Park, M.D., Young Bin Joo, M.D., Ph.D., So-Young Bang, M.D., Ph.D., Jiyoung Lee, M.S., Hye-Soon Lee, M.D., Ph.D., Sang-Cheol Bae, M.D., Ph.D., MPH
J Rheum Dis 2022; 29(4): 223-231
