Corticosteroids in the treatment of severe nocardia pneumonia in chronic granulomatous disease

Pediatr Infect Dis J. 2011 Sep;30(9):806-8. doi: 10.1097/INF.0b013e318218181d.

Abstract

Nocardia is 1 of the 5 main pathogens that infect chronic granulomatous disease patients. Despite aggressive antimicrobial therapy, medical treatment is not always successful and surgical resection of infected tissue has been intermittently required. We present 2 chronic granulomatous disease patients with severe Nocardia pneumonia whose pulmonary status worsened despite appropriate antimicrobials, but then improved clinically and radiographically with the addition of corticosteroids.

Publication types

  • Case Reports
  • Research Support, N.I.H., Intramural

MeSH terms

  • Adolescent
  • Adrenal Cortex Hormones / therapeutic use*
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Granulomatous Disease, Chronic / complications*
  • Granulomatous Disease, Chronic / drug therapy
  • Humans
  • Male
  • Nocardia Infections / diagnosis
  • Nocardia Infections / drug therapy*
  • Nocardia Infections / etiology
  • Pneumonia, Bacterial / diagnosis
  • Pneumonia, Bacterial / drug therapy*
  • Pneumonia, Bacterial / etiology
  • Treatment Outcome
  • Young Adult

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents