Concomitant Pulmonary Nocardiosis and Tuberculosis in a Patient With Rheumatoid Arthritis: A New View Point
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Date
2012-10-01
0000-0002-4440-335X Journal Title
Journal ISSN
Volume Title
Publisher
Brieflands
Abstract
A B S T R A C T: A few case reports of coinfections with Nocardia and Mycobacterium tuberculosis (TB) have previously been published in the literature. We report on a case of concomitant pulmonary nocardiosis and tuberculosis, in a recently diagnosed 55-year-old woman, with rheumatoid arthritis, who had been taking a short course of a low dose corticosteroid. The patient was treated with a combination of amikacin and imipenem, as well as a standard anti-TB regimen. Physiologic doses of corticosteroids might be a predisposing factor for opportunistic infections, such as nocardiosis or tuberculosis.