Hepato-pulmonary Nocardia infections (report of one case)
Pretet, S.; Paul, G.; Claret, Y.; Marin, I.; Bagot, M.; Dyan, A.
Journal de Chirurgie 116(11): 637-640
1979
ISSN/ISBN: 0021-7697 PMID: 400293 Document Number: 146351
Actinomycosis due to Nocardia asteroides is a mainly pulmonary disease; the metastases are due to migration of the germ in the blood from the primary lung focus. The case reported here concerned a patient whose initial symptoms were mainly hepatic, suggesting an amoebic abscess of the liver. The pulmonary lesions appeared only secondarily with presence in the sputum of the nocardia which was responsible. Prolonged treatment with trimethoprime sulfamethazole led to complete and lasting cure of the lesions, confirmed radiographically and by a liver scan.