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Table 1 Summary of cases reporting nocardiosis in patients with pemphigus

From: Pulmonary nocardiosis in a patient with pemphigus foliaceus: case report and literature review

Study

Age/gender

Comorbidity

Clinical presentation

Radiological features

Specimen

Nocardia spp.

Antibiotic therapy

Tapering dose of corticosteroids before admission

Outcome

Asilian2006 [13]

56y/man

Chronic bronchitis

Skin abscess, cough and dyspnea

CT: Segmental opacities in the middle zone of the right lung with loculated right pleural effusion

Pleural fluid and sample of skin abscesses

UA

Cotrimoxazole:50 mg/kg/day, i.v

Yes

Improved

Murdock1990 [14]

50y/woman

Diabetes mellitus

Sore throat, cough,chest pain,fever, chills

CXR: A large cavitary lesion and an infiltrate in the right upper lung

Sputum

Nocardia brasiliensis

Trimethoprim-sulfamethoxazole: ten days during hospitalization, then minocycline, 100 mg twice a day for 4 months after discharged

No

Improved

Rahdar2020 [15]

40y/man

UA

UA

UA

BAL, DNA

sequencing

N. cyriacigeorgica

Trimethoprim-sulfamethoxazole: 15 mg/kg/day

UA

Cured

Rahdar2020 [15]

41y/man

UA

UA

UA

DNA

sequencing

N. cyriacigeorgica

Trimethoprim-sulfamethoxazole: 15 mg/kg/day

UA

Cured

Rahdar2020 [15]

39y/man

UA

UA

UA

DNA

sequencing

N. otitidiscaviarum

Trimethoprim-sulfamethoxazole: 15 mg/kg/day

UA

Cured

Rahdar2020 [15]

58y/man

UA

UA

UA

BAL, DNA

sequencing

N. cerradoensis

Trimethoprim-sulfamethoxazole: 15 mg/kg/day

UA

Cured

Miller1967 [16]

UA/woman

UA

Lethargy and malaise

CXR: A left suprahilar mass and pleural effusion

Pleural fluid

UA

Sulfisoxazole:8 mg daily

Yes

Improved

Martin2000 [17]

58y/man

Hypertension

Cough,fever and low level of consciousness

Diffuse cerebral lesions

Lung and brain biopsies

UA

Cefuroxime and Ciprofloxacin

UA

Died

Chosidow1990 [18]

57y/woman

Breast malignancy, rheumatoid arthritis and diabetes mellitus

Fever, shivers generalwasting and skin abscess

CXR: A middle-lobe nodular density

CT: Hypodensity of the third segment of the liver

Skin biopsy and blood cultures

UA

Trimethoprim-sulfamethoxazole: 400 and 2400 mg/day, Amikacin: 500 mg/day

Yes

Improved

Present case

54y/man

Diabetes mellitus

Fever,breathlessness,chest pain

CT: Thick-walled cavities existed in multi-lobes of both lungs

Sputum,BAL, RNA

sequencing

Nocardia brasiliensis

Trimethoprim-sulfamethoxazole, intravenous Cefotaxime and Amikacin

Yes

Improved

  1. UA Unavailable, BAL Bronchoalveolar lavage fluid, CT Computerized tomography, CXR Chest X-Ray, PV Pemphigus vulgaris, PF Pemphigus foliaceus