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Case Reports in Pulmonology
Volume 2017 (2017), Article ID 9567175, 3 pages
https://doi.org/10.1155/2017/9567175
Case Report

Nocardia brasiliensis Infection Complicating Cryptogenic Organizing Pneumonia

1Saba University School of Medicine, The Bottom, Saba, Netherlands
2Department of Dermatology, Mayo Clinic, Jacksonville, FL, USA
3Division of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, FL, USA

Correspondence should be addressed to Isabel Mira-Avendano; ude.oyam@lebasi.arim

Received 22 December 2016; Revised 12 February 2017; Accepted 19 February 2017; Published 28 February 2017

Academic Editor: Luis Borderías

Copyright © 2017 Alison M. Fernandes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pulmonary nocardiosis is a severe and uncommon opportunistic infection caused by Nocardia species. We present a patient with cryptogenic organizing pneumonia who was receiving long-term immunosuppressive therapy, whose treatment course was complicated by cutaneous and pulmonary nocardiosis. Tissue cultures confirmed Nocardia brasiliensis. Nocardiosis should be a diagnostic consideration for patients treated with long-term immunosuppression who have worsening pulmonary symptoms and relapsing pustular skin lesions.