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[Recurrent abscessing pneumonia caused by Nocardia]
Abstract:
In female patient, 19 years old, disease occurred when she was 5. Thoracotomy with atypical resection of lung part was performed for the abscess in right lobe. Nocardia was bacteriologically confirmed. In the next 3 years, she was treated for pneumonia several times. When she was 19, abscess-forming pneumonia that recurrently occurred after the antibiotic therapy cease was established in right lobe. Nocardia was isolated by bronchoscopically taken aspirate, bacteriologically stained by Gramm, Ziehl-Neelsen and Kinyon and cultivated on several bacteriological and mycological media. She has been treated by antibiotic combination (sulfamethoxazole + trimethoprim and amoxicillin + clavulanic acid and minocycline) for 10 months. Subjective discomforts disappeared after the therapy, biohumoral findings were normal, and smaller pleuropulmonary adhesions on the right side could have been radiologically observed.