JFSF Vol 2, No 4, December 2017, p.88-91
doi: 10.22540/JFSF-02-088
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Case Report Article
Nocardia osteomyelitis in an immunosuppressed patient
Evangelos A. Boulios1, Pinelopi P. Konstantopoulou1, Georgios D. Bailas1, Anastasia K. Klagkou1, Georgia C. Tseliou1, Ioanna Z. Gkoulia2, Athanasios I. Georgountzos1
- Department of Rheumatology, Athens General Hospital "G. Gennimatas", Athens, Greece
- Department of Pediatric Surgery, General Maternity Hospital "Elena Venizelou", Athens, Greece
Keywords: Nocardia, Osteomyelitis, GPA, Immunosuppression, Antibiotics
Abstract
Osteomyelitis is an inflammation process of bone caused by a pathogenic microorganism and associated by edema, thrombosis of small vessels and eventually bone necrosis. Infection of bone occurs as a consequence of hematogenous dissemination of bacteria, invasion from a contiguous focuw of infection and skin breakdown. We report a case of lower limbs osteomyelitis due to Nocardia spp in a 68 years old man with Granulomatosis with Polyangiitis (GPA) during his treatment of underlying vasculitis. This case indicates considering rare pathogens in immunosuppressed patients.
