Abscess of adrenal gland caused by disseminated subacute Nocardia farcinica pneumonia. A case report and mini-review of the literature
1 Department of General-, Visceral- and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Germany, Martinistraße 52, 20246 Hamburg, Germany
2 Diagnostic and Interventional Radiology Department and Clinic, University Medical Center Hamburg-Eppendorf, Germany, Martinistraße 52, 20246 Hamburg, Germany
3 Department of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Germany, Martinistraße 52, 20246 Hamburg, Germany
BMC Infectious Diseases 2009, 9:194 doi:10.1186/1471-2334-9-194Published: 2 December 2009
Infections caused by Nocardia farcinica are uncommon and show a great variety of clinical manifestations in immunocompetent and immunocompromised patients. Because of its unspecific symptoms and tendency to disseminate it may mimic the clinical symptoms and radiologic findings of a tumour disease and the diagnosis of nocardiosis can easily be missed, because there are no characteristic symptoms.
We present a case of an adrenal gland abscess caused by subacute disseminated N. farcinica pneumonia.
An infection with N. farcinica is potentially lethal because of its tendency to disseminate -particularly in the brain- and its high resistance to antibiotics. Awareness of this differential diagnosis allows early and appropriate treatment to be administered.