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Case Reports
. 2020 Jan;45(1):55-56.
doi: 10.1097/RLU.0000000000002842.

18F-FDG Imaging of a Case of Disseminated Nocardiosis

Margot Playe  1 , Margot Einfalt  2 , Sinn Rithy Toch, Antoine Froissart  2 , Gérald Bodardel  1
Affiliations
Case Reports

18F-FDG Imaging of a Case of Disseminated Nocardiosis

Margot Playe et al. Clin Nucl Med. 2020 Jan.

Abstract

Nocardiosis is an uncommon infection caused by ubiquitous environmental aerobic gram-positive filamentous bacteria, present in soil and water. Skin and lungs are usually the main targets of localized infections. Rarely, disseminated forms can occur in immunocompromised individuals. A 63-year-old man with a history of late-onset asthma and nasal and sinus polyposis treated with oral low-dose corticosteroid regimen presented with fever, headache, myalgia, skin erythematous plaques, and pustules. Brain MRI revealed multiple abscesses and pachymeningitis. F-FDG PET/CT was performed to assess the extent of the infection. Cutaneous samples and sputum culture isolated Nocardia brasiliensis, confirming diagnosis of disseminated nocardiosis.

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References

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