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

doi:10.2169/internalmedicine.51.6961

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 journal › Article › peer-review

12 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 language	English
Pages (from-to)	1413-1417
Number of pages	5
Journal	Internal Medicine
Volume	51
Issue number	11
DOIs	https://doi.org/10.2169/internalmedicine.51.6961
Publication status	Published - 2012
Externally published	Yes

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2169/internalmedicine.51.6961

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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",

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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

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JO - Internal Medicine

JF - Internal Medicine

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ER -

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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