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Vol. 41. Issue 5.
Pages 290-292 (May 2005)
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Vol. 41. Issue 5.
Pages 290-292 (May 2005)
Case Reports
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Acute Respiratory Distress Syndrome Caused by Pulmonary Nocardiosis in a Patient With Systemic Lupus Erythematosus
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J. Ferreres Francoa,
Corresponding author
jferreres@ono.es

Correspondence: Dr. J. Ferreres Franco. Servicio de Medicina Intensiva. Hospital Clínico Universitario de Valencia. Avda. Blasco Ibáñez, 15. 46010 Valencia. España
, J. Blanquer Olivasa, R. Dosdá Muñozb, N. Carbonell Monleóna, E. Moreno Claria, E. Pérez Sanchoa
a Servicio de Medicina Intensiva, Hospital Clínico Universitario de Valencia, Valencia, Spain
b Servicio de Radiología, Hospital Clínico Universitario de Valencia, Valencia, Spain
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Nocardia is a gram-positive bacillus that infects mainly immunodepressed patients. Its association with lupus erythematosus has been described only occasionally and we have found no reports in the literature of an association between lupus and acute respiratory distress syndrome due to pulmonary nocardiosis. We present such a case and discuss the mechanisms that make this lung infection so virulent as well as its epidemiological and microbiological characteristics, clinical presentation, diagnosis, and treatment.

Key Words:
Nocardia
Pulmonary nocardiosis
Systemic lupus erythematosus
Acute respiratory distress syndrome

Nocardia es una bacilo grampositivo que infecta principalmente a pacientes inmunodeprimidos. Su asociación con el lupus eritematoso sistémico se ha descrito pocas veces, y en la bibliografía médica revisada no hemos encontrado ningún caso asociado al síndrome de distrés respiratorio agudo por una nocardiosis pulmonar. A partir de un caso clínico se realiza una descripción de los mecanismos de virulencia de esta bacteria, así como de las características epidemiológicas, microbiológicas, forma de presentación clínica y procedimientos diagnósticos y terapéuticos de esta entidad.

Palabras clave:
Nocardia
Nocardiosis pulmonar
Lupus eritematoso sistémico
Síndrome de distrés respiratorio agudo
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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