"Unveiling the Complexity of Nocardia Septic Arthritis in an Immunocomp" by Steven A. Kessler, Meghan R. Mansour et al.
 

Unveiling the Complexity of Nocardia Septic Arthritis in an Immunocompromised Patient: A Case Report.

Document Type

Article

Publication Date

8-1-2024

Publication Title

HCA Healthcare Journal of Medicine

Abstract

BACKGROUND: Nocardiosis is the systemic manifestation of

CASE PRESENTATION: A 74-year-old man presented with left lower extremity swelling and pain. He was taking immunosuppressive medication for antineutrophilic cytoplasmic antibody-positive vasculitis. A week prior, an arthrocentesis test was positive for gout. He received prednisone without improvement. A repeat arthrocentesis was positive for

CONCLUSION: This case involves septic arthritis with possible pulmonary nodule involvement, showcasing the complexity of infections in immunocompromised individuals. Clinicians should maintain adequate suspicion for an infectious cause of arthritis in patients with immunosuppression. In our case, the hematomas are a curious finding, without known etiology. The question of when and how to reintroduce immunosuppressive agents while preventing the recurrence of nocardiosis remains a complex consideration.

Volume

5

Issue

4

First Page

473

Last Page

477

DOI

10.36518/2689-0216.1694

ISSN

2689-0216

PubMed ID

39290475

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