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First report of a post-pneumonectomy nocardia empyema
Nakata, Jonathan A. Arif, Azzan Chai, Louis F. Su, Stacey
Nakata, Jonathan A.
Arif, Azzan
Chai, Louis F.
Su, Stacey
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Journal article
Date
2024-01-30
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Thoracic Medicine and Surgery
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https://doi.org/10.1093/jscr/rjae002
Abstract
Post-pneumonectomy empyema (PPE) is an uncommon but serious complication that carries significant therapeutic challenges. We present a late-onset PPE due to Nocardia nova in an immunocompetent individual. Nine years after a right pneumonectomy for non-small cell lung cancer, surveillance scans revealed new right pleural thickening and FDG avidity concerning for recurrence. Thoracoscopic pleural biopsies were negative for malignancy, but tissue cultures grew N. nova. Nocardia empyema is rare with few reported cases. Most occur in immunocompromised hosts, and all were associated with pulmonary or disseminated nocardiosis. Our case describes the first report of a PPE secondary to Nocardia.
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Jonathan A Nakata, Azzan Arif, Louis F Chai, Stacey Su, First report of a post-pneumonectomy nocardia empyema, Journal of Surgical Case Reports, Volume 2024, Issue 1, January 2024, rjae002, https://doi.org/10.1093/jscr/rjae002
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Oxford University Press (OUP)
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Journal of Surgical Case Reports, Vol. 2024, Iss. 1
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