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
Externally publishedYes

Fingerprint

Nocardia asteroides
Nocardia Infections
Needles
Acquired Immunodeficiency Syndrome
HIV
Pneumonia
Pneumocystis Pneumonia
Exudates and Transudates
Cytomegalovirus
Cough
Fever
Thorax
Tomography
Lymphadenopathy
Therapeutics

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

Cite this

A case of Nocardia asteroides infection in a patient with HIV/AIDS diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). / Fujikura, Yuji; Kouzaki, Yuji; Ohta, Shinichiro; Hara, Yu; Mikita, Kei; Maeda, Takuya; Kanoh, Soichiro; Miura, Soichiro; Kawana, Akihiko.

In: Internal Medicine, Vol. 51, No. 11, 2012, p. 1413-1417.

Research output: Contribution to journalArticle

Fujikura, Yuji ; Kouzaki, Yuji ; Ohta, Shinichiro ; Hara, Yu ; Mikita, Kei ; Maeda, Takuya ; Kanoh, Soichiro ; Miura, Soichiro ; Kawana, Akihiko. / A case of Nocardia asteroides infection in a patient with HIV/AIDS diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). In: Internal Medicine. 2012 ; Vol. 51, No. 11. pp. 1413-1417.
@article{c9b6505aad1047a7a839b14c194fcfd1,
title = "A case of Nocardia asteroides infection in a patient with HIV/AIDS diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)",
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.",
keywords = "Acquired immunodeficiency syndrome (AIDS), Endobronchial ultrasound-guided trans-bronchial needle aspiration (EBUS-TBNA), Human immunodeficiency virus (HIV), Lymphadenopathy, Mediastinal lymph node, Nocardiosis",
author = "Yuji Fujikura and Yuji Kouzaki and Shinichiro Ohta and Yu Hara and Kei Mikita and Takuya Maeda and Soichiro Kanoh and Soichiro Miura and Akihiko Kawana",
year = "2012",
doi = "10.2169/internalmedicine.51.6961",
language = "English",
volume = "51",
pages = "1413--1417",
journal = "Internal Medicine",
issn = "0918-2918",
publisher = "Japanese Society of Internal Medicine",
number = "11",

}

TY - JOUR

T1 - A case of Nocardia asteroides infection in a patient with HIV/AIDS diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)

AU - Fujikura, Yuji

AU - Kouzaki, Yuji

AU - Ohta, Shinichiro

AU - Hara, Yu

AU - Mikita, Kei

AU - Maeda, Takuya

AU - Kanoh, Soichiro

AU - Miura, Soichiro

AU - Kawana, Akihiko

PY - 2012

Y1 - 2012

N2 - 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.

AB - 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.

KW - Acquired immunodeficiency syndrome (AIDS)

KW - Endobronchial ultrasound-guided trans-bronchial needle aspiration (EBUS-TBNA)

KW - Human immunodeficiency virus (HIV)

KW - Lymphadenopathy

KW - Mediastinal lymph node

KW - Nocardiosis

UR - http://www.scopus.com/inward/record.url?scp=84863100183&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863100183&partnerID=8YFLogxK

U2 - 10.2169/internalmedicine.51.6961

DO - 10.2169/internalmedicine.51.6961

M3 - Article

VL - 51

SP - 1413

EP - 1417

JO - Internal Medicine

JF - Internal Medicine

SN - 0918-2918

IS - 11

ER -