Abstract
A 62-year-old male with living kidney trans-plantation had been treated with methylprednisolone, tacrolimus, and mycophenolate mofetil. He had a chest pain on October 2nd. On October 12th, he was transported by ambulance to our hospital because of the exacerbation of chest pain. Chest CT revealed a lung abscess in contact with the migrating pleura, and Kinyoun stain-positive Gram-positive rods were found in sputum and blood cultures. A few days after treatment, respiratory failure worsened, requiring temporary ventilator management. Later, the culture showed Nocardia farcinica, so treatment was continued and improvement was observed. On day 44, head MRI revealed multiple brain abscesses, and treatment was added for brain abscesses due to disseminated nocardiosis. Nocardiosis is a disease that should be identified as a respiratory infection in immunodeficient patients.
