Last update:

   15-Jan-2020
 

Arch Hellen Med, 37(1), January-February 2020, 126-128

CASE REPORT

Successful treatment of pulmonary nocardiosis with levofloxacin

A. Aristodimou,1 P. Nearchou,1 H. Georgiou,2 M. Lemessios3
1Department of Internal Medicine, Troodos Hospital, Kyperounta, Limassol,
2Department of Radiology, Limassol Hospital, Limassol,
3Pulmonary Department, Troodos Hospital, Kyperounta, Limassol, Cyprus

Pulmonary nocardiosis can occur in both immunocompromised and immunocompetent patients. The case is presented here of pulmonary nocardiosis in an immunocompetent woman that was initially treated with cotrimoxazole. Because of deterioration of renal function and development of hyperkaliemia, the patient's treatment was changed to levofloxacin, which was continued for 11 months. The treatment resulted in improvement of her clinical status and complete normalization of the laboratory tests. The clinical importance of this case lies in the fact that in the relevant bibliography, only a few cases of pulmonary nocardiosis were treated successfully with levofloxacin.

Key words: Cotrimoxazole, Levofloxacin, Pulmonary nocardiosis.


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