Xanthogranulomatous inflammation caused by K. pneumonia and nocardiosis mimicking a uterine tumor and invading the ureter and colon: A case report and review of the literature

Shen, Ting-An; Hsu, Yung‐Hsiang; Ding, Dah-Ching

doi:10.1016/j.tjog.2021.12.006

Cited by 4 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abdominal nocardiosis is often misdiagnosed as tuberculosis, 20 , 21 or abdominal malignancies. 22 , 23 This misidentification can occur due to the similarities in symptoms and imaging findings between these conditions and abdominal nocardiosis. Misdiagnosed can lead to incorrect treatment methods, including anti-tuberculous medications or unnecessary extensive surgeries.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…Misdiagnosed can lead to incorrect treatment methods, including anti-tuberculous medications or unnecessary extensive surgeries. 20 , 22 , 23 A published case ( Table 2 , Case 7) initially suspected primary renal cell carcinoma and underwent a right nephrectomy. However, postoperative biopsy not observed evidence of neoplasia; instead, eventually confirmed a diagnosis of Nocardia renal abscess.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…The final pathology showed Xanthogranulomatous inflammation caused by Nocardia. 23 Surgical debridement and drainage are crucial for the prognosis of abscess caused by Nocardia, as aspiration or resection can control the source. Some patients with abscesses may require repeated aspiration or resection, due to abscess may reduce the permeability of antibiotics.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Abdominal Abscesses Caused by Nocardia farcinica in an Immunocompromised Patient: A Case Report and Literature Review

Wang,

Liang,

Cheng

et al. 2023

IDR

View full text Add to dashboard Cite

Nocardiosis is mainly an opportunistic infection that affects immunosuppressed individuals, with the most common manifestation being the pulmonary infection and cerebral abscesses. Abdominal abscesses caused by Nocardia is rare in diabetes patients. Here, we report a rare case of abdominal abscesses caused by Nocardia farcinica ( N. farcinica ) in a 56-year-old man with poorly controlled type 2 diabetes and prolonged use of corticosteroids for the treatment of secondary adrenal insufficiency. Abdominal CT suggested abdominal abscesses, and the culture of the abscess puncture fluid identified it as N. farcinica by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Treatment with a combination of trimethoprim-sulfamethoxazole (TMP-SMX) and imipenem/cilastatin (IPM/CS), along with surgical drainage and reduction in corticosteroid dosage, achieved successful outcomes in treating disseminated abdominal abscesses. Immunocompromised patients with unexplained fever, abdominal pain, and abdominal abscess should be suspected of Nocardia infection.

show abstract

Section: Discussion and Literature Reviewmentioning

confidence: 99%