Pulmonary cavitation with Nocardia and Aspergillus in a renal transplant patient
Carter, J.M.; Green, W.R.; Callender, C.O.; Peters, B.
Journal of the National Medical Association 82(7): 527-8 530-1
1990
ISSN/ISBN: 0027-9684 PMID: 2204711 Document Number: 357704
An autopsy case of concomitant pulmonary aspergillosis and nocardiosis undiagnosed during life is reported in a 49-yr-old male long-term surviving renal transplant recipient. The patient had fever and a newly developed cavitary lesion on a chest X-ray. The working diagnosis was pulmonary tuberculosis with possible colonization by Aspergillus sp. Cultures of bronchial washings became positive for A. fumigatus 1 d after death. The study of tissue from the lung cavity at autopsy revealed A. fumigatus (confirmed by postmortem culture) and the filaments of Nocardia sp.