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Disseminated Nocardia Infection in an Old Male Patient with Nephrotic Syndrome by Wanchun Yang, Lei Zhao, Meng Tang, Yinling Jiang, Ziwen Zhu, Tucker J. Brady, Huaping Xiao, Qian Bai, Mark R. Wakefield, Yujiang Fang

Background: Nocardia infection is a very rare bacterial infection caused by Gram-positive, aerobic nocardia species. However, in recent years, it has become a serious infection in immunocompromised patients. Earlier diagnosis plays a pivotal in the effective treatment of nocardia infection.
Methods: In this study, we reported a 65-year-old male patient with nephrotic syndrome who had disseminated abscesses in the lungs, right lower limb, and right cheek.
Results: Bacterial culture from these lesions confirmed the presence of nocardia. Timely administration of sensitive antibiotics resulted in a quick recovery for this patient.
Conclusions: Nocardia infection should be considered in the differential diagnosis of infectious lesions, especially when a patient has multiple abscesses and an underlying disorder in which the immune function of the patient may be compromised.

DOI: 10.7754/Clin.Lab.2019.190638