169 - Nocardiosis Flashcards
Actinomycetoma is more common in the __ and people working with __. Pulmonary/systemic disease is more common in __ and __.
equatorial areas
soil
adults
men
__ is a man risk factor for nocardiosis
immunodeficiency
Give an example to immunocompromised in risk patients who my get infected with nocardia: 4
AIDS
post transplantation
lymphoma
CGD (chronic granulomatous disease)
Nocardiosis is caused by __ particles of the bacteria. the typical pathology is __/__ with __ containing __ and __.
inhaling systemic/pulmonary abscess neutrophilia necrosis
Which organs are most commonly involved in nocardiosis?
lung
brain
skin
eyes
Pulmonary symptoms include __ cough, __, __, __
productive
fever
anorexia
lethargy
What will the typical CXr of a patients with nocardiosis show? 3
compressed infiltration spread in nodules with optional cavitation.
looks like metastatic tumor
empyema
What might pulmonary disease of patients with nocardiosis end up with? 3
pericarditis
mediastinitis
SVCS
Cutaneous nocardiosis presentation is usually __ or __
cellulitis
lymphocutaneous syndrome
Lymphocutaneous disease presentation includes
nodule with a purulent ulcer
What is the ABx of choice in most cases of nocardia? (monotherapy)
resprim (sulfonamide- TMZ-SMX)
amikacin (aminoglycoside)
linezolid (oxazolidinones)
Severe patients should be treated with a combination of __ + __ + __/__
resprim
amikacin
ceftriaxone/imipenem
