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Case Reports
. 2017 Apr 12;9(4):e1160.
doi: 10.7759/cureus.1160.

Disseminated Nocardia Farcinica Pneumonia with Left Adrenal Gland Abscess

Christopher Jackson  1 , Brennan McCullar  1 , Kiran Joglekar  2 , Ankur Seth  2 , Hiren Pokharna  1
Affiliations
Case Reports

Disseminated Nocardia Farcinica Pneumonia with Left Adrenal Gland Abscess

Christopher Jackson et al. Cureus. .

Abstract

Adrenal masses pose a diagnostic challenge. The differential diagnosis includes functional adrenal tumors, incidentally found adrenal masses, metastases from an unknown primary cancer, and abscesses. Infrequently, adrenal gland abscesses have been reported in disseminated nocardiosis affecting immunocompetent and immunocompromised patients. We report a case of disseminated Nocardia farcinica pneumonia with an adrenal gland abscess in an immunocompetent patient with no identified risk factors for nocardiosis.

Keywords: adrenal gland; fever of unknown origin; pneumonia; pulmonary nocardiosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography of the chest
Ground glass changes in the mid-lung zones bilaterally, along with bilateral pleural effusions
Figure 2
Figure 2. Computed tomography of the abdomen and pelvis
Left heterogenous adrenal gland mass concerning for hemorrhage
See this image and copyright information in PMC

References

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