Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review
Abstract Background Nocardia cyriacigeorgica is one of the most common Nocardia species found in human infections, recently reclassified. Even though Nocardia may affect all organs by hematogenous dissemination, bacteremia are uncommon. Among all possible dissemination sites, the involvement of the...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | https://doi.org/10.1186/s12879-022-07839-9 |
| _version_ | 1797973702516670464 |
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| author | Florian Saunier Sylvain Grange Josselin Rigaill Marie-France Lutz Amandine Gagneux-Brunon Elisabeth Botelho-Nevers |
| author_facet | Florian Saunier Sylvain Grange Josselin Rigaill Marie-France Lutz Amandine Gagneux-Brunon Elisabeth Botelho-Nevers |
| author_sort | Florian Saunier |
| collection | DOAJ |
| description | Abstract Background Nocardia cyriacigeorgica is one of the most common Nocardia species found in human infections, recently reclassified. Even though Nocardia may affect all organs by hematogenous dissemination, bacteremia are uncommon. Among all possible dissemination sites, the involvement of the adrenal glands is particularly rare. Case presentation We report here a rare case of Nocardia disseminated infection with notably bacteremia and adrenal gland abscess, in a 77-years-old immunocompetent man. Adrenal gland abscess diagnosis was made by imaging (computerized tomography, magnetic resonance and positron emission tomography scan). A complete regression of all lesions including the left adrenal gland was obtained after 6 months of antibiotics. A review of literature was also performed. Conclusion Nocardia bacteremia is a rare event but blood cultures may help to improve detection of Nocardia spp. in a non-invasive way. Adrenal abscess due to Nocardia spp. is very rare with only fourteen cases reported in the literature, but it is a true cause of adrenal masses. Our report suggests that clinician should be aware of this rare location and prioritize a non-invasive diagnosis strategy. |
| first_indexed | 2024-04-11T04:08:32Z |
| format | Article |
| id | doaj.art-6feb74564e734e9a87ad48a97738bf21 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-04-11T04:08:32Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-6feb74564e734e9a87ad48a97738bf212023-01-01T12:13:53ZengBMCBMC Infectious Diseases1471-23342022-12-012211710.1186/s12879-022-07839-9Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and reviewFlorian Saunier0Sylvain Grange1Josselin Rigaill2Marie-France Lutz3Amandine Gagneux-Brunon4Elisabeth Botelho-Nevers5Infectious Disease Department, University Hospital of Saint EtienneDepartment of Radiology, University Hospital of Saint EtienneLaboratory of Infectious Agents and Hygiene, University Hospital of Saint-EtienneInfectious Disease Department, University Hospital of Saint EtienneInfectious Disease Department, University Hospital of Saint EtienneInfectious Disease Department, University Hospital of Saint EtienneAbstract Background Nocardia cyriacigeorgica is one of the most common Nocardia species found in human infections, recently reclassified. Even though Nocardia may affect all organs by hematogenous dissemination, bacteremia are uncommon. Among all possible dissemination sites, the involvement of the adrenal glands is particularly rare. Case presentation We report here a rare case of Nocardia disseminated infection with notably bacteremia and adrenal gland abscess, in a 77-years-old immunocompetent man. Adrenal gland abscess diagnosis was made by imaging (computerized tomography, magnetic resonance and positron emission tomography scan). A complete regression of all lesions including the left adrenal gland was obtained after 6 months of antibiotics. A review of literature was also performed. Conclusion Nocardia bacteremia is a rare event but blood cultures may help to improve detection of Nocardia spp. in a non-invasive way. Adrenal abscess due to Nocardia spp. is very rare with only fourteen cases reported in the literature, but it is a true cause of adrenal masses. Our report suggests that clinician should be aware of this rare location and prioritize a non-invasive diagnosis strategy.https://doi.org/10.1186/s12879-022-07839-9Nocardia cyriacigeorgicaNocardiosisAdrenal gland abscessBacteremia |
| spellingShingle | Florian Saunier Sylvain Grange Josselin Rigaill Marie-France Lutz Amandine Gagneux-Brunon Elisabeth Botelho-Nevers Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review BMC Infectious Diseases Nocardia cyriacigeorgica Nocardiosis Adrenal gland abscess Bacteremia |
| title | Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review |
| title_full | Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review |
| title_fullStr | Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review |
| title_full_unstemmed | Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review |
| title_short | Bacteremia and adrenal gland abscess due to Nocardia cyriacigeorgica: a case report and review |
| title_sort | bacteremia and adrenal gland abscess due to nocardia cyriacigeorgica a case report and review |
| topic | Nocardia cyriacigeorgica Nocardiosis Adrenal gland abscess Bacteremia |
| url | https://doi.org/10.1186/s12879-022-07839-9 |
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