TY - JOUR
T1 - Unusual mixed infection of thoracic empyema caused by Mycobacteria tuberculosis, Nontuberculosis mycobacteria and Nocardia asteroides in a woman with systemic lupus erythematosus
AU - Huang, Heng Ching
AU - Yu, Wen Liang
AU - Shieh, Chi Chang
AU - Cheng, Kuo Chen
AU - Cheng, He Hsiung
PY - 2007/1
Y1 - 2007/1
N2 - We report a 45-year-old woman of systemic lupus erythematosus (SLE) with thoracic empyema that was unusually infected by Mycobacterium tuberculosis (MTB), Nontuberculosis mycobacteria (NTM) concomitant with Nocardia asteroides. After a combined treatment of cotrimoxazole, clarithromycin and anti-tuberculosis drugs with a short-term of intravenous immunoglobulin (IVIG), the patient recovered from the critical illness. On the basis of the results in this case, we recommend a thorough survey of the probably concomitant infections of MTB and NTM in an immunocompromised patient with a known N. asteroid infection. In addition, an adjuvant intravenous immunoglobulin therapy may have beneficial effect in the control of infections in an SLE patient.
AB - We report a 45-year-old woman of systemic lupus erythematosus (SLE) with thoracic empyema that was unusually infected by Mycobacterium tuberculosis (MTB), Nontuberculosis mycobacteria (NTM) concomitant with Nocardia asteroides. After a combined treatment of cotrimoxazole, clarithromycin and anti-tuberculosis drugs with a short-term of intravenous immunoglobulin (IVIG), the patient recovered from the critical illness. On the basis of the results in this case, we recommend a thorough survey of the probably concomitant infections of MTB and NTM in an immunocompromised patient with a known N. asteroid infection. In addition, an adjuvant intravenous immunoglobulin therapy may have beneficial effect in the control of infections in an SLE patient.
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U2 - 10.1016/j.jinf.2006.03.024
DO - 10.1016/j.jinf.2006.03.024
M3 - Article
C2 - 16712939
AN - SCOPUS:33845587330
SN - 0163-4453
VL - 54
SP - e25-e28
JO - Journal of Infection
JF - Journal of Infection
IS - 1
ER -