A case of Nocardia asteroides infection in a patient with HIV/AIDS diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)

Yuji Fujikura, Yuji Kouzaki, Shinichiro Ohta, Yu Hara, Kei Mikita, Takuya Maeda, Soichiro Kanoh, Soichiro Miura, Akihiko Kawana

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

We report a 45-year-old man with HIV/AIDS who developed mediastinal lymphadenopathy caused by Nocardia asteroides infection that was diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). He was an untreated HIV-infected man who was admitted to our hospital because of Pneumocystis pneumonia and Cytomegalovirus pneumonia. After treatment for pneumonia, cough and fever recurred and chest computed tomography revealed subcarinal lymphadenopathy with rim enhancement. To identify the etiology, we performed EBUS-TBNA and obtained purulent exudates which contained N. asteroides. EBUS-TBNA is a useful and safe technique for the diagnosis of mediastinal infectious lymphadenopathy of unknown origin.

Original languageEnglish
Pages (from-to)1413-1417
Number of pages5
JournalInternal Medicine
Volume51
Issue number11
DOIs
Publication statusPublished - 2012 Jul 4
Externally publishedYes

Keywords

  • Acquired immunodeficiency syndrome (AIDS)
  • Endobronchial ultrasound-guided trans-bronchial needle aspiration (EBUS-TBNA)
  • Human immunodeficiency virus (HIV)
  • Lymphadenopathy
  • Mediastinal lymph node
  • Nocardiosis

ASJC Scopus subject areas

  • Internal Medicine

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