A man in his seventies with pleural effusion, knee pain and dysarthria following open heart surgery. / En mann i 70-årene med pleuravæske, knesmerter og dysartri etter åpen hjertekirurgi.
Tidsskr Nor Laegeforen
; 141(18)2021 12 14.
Article
en En, Nor
| MEDLINE
| ID: mdl-34911264
ABSTRACT
BACKGROUND:
Patients receiving immunosuppressive therapy are vulnerable to infections. The wide range of possible causative pathogens, often with unusual manifestations and/or confounding comorbidity, are challenging for diagnosis and treatment. CASE PRESENTATION An active man in his seventies developed recurrent pleural effusions, peripheral oedemas and fatigue, diagnosed as post-cardiotomy syndrome, within four months of open heart surgery and ablation due to aortic stenosis and atrial fibrillation. Following initial improvement on colchicine and corticosteroids, he deteriorated with respiratory symptoms, dysarthria and knee pain. Investigations revealed abscesses in brain and soft tissue with growth of Nocardia spp. Completion of the long-term broad-spectrum antibiotic treatment was challenging.INTERPRETATION:
Systemic nocardiosis that developed in a patient on corticosteroid treatment, initiated to treat post-cardiotomy syndrome, highlights the risk of opportunistic infections by widely used drugs. The case also illustrates the importance of interdisciplinary collaboration for diagnosis and treatment.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Derrame Pleural
/
Procedimientos Quirúrgicos Cardíacos
/
Nocardiosis
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Humans
/
Male
Idioma:
En
/
Nor
Revista:
Tidsskr Nor Laegeforen
Año:
2021
Tipo del documento:
Article