0000000000888404
AUTHOR
N. Carbonell Monleón
Acute Respiratory Distress Syndrome Caused by Pulmonary Nocardiosis in a Patient With Systemic Lupus Erythematosus
Nocardia is a gram-positive bacillus that infects mainly immunodepressed patients. Its association with lupus erythematosus has been described only occasionally and we have found no reports in the literature of an association between lupus and acute respiratory distress syndrome due to pulmonary nocardiosis. We present such a case and discuss the mechanisms that make this lung infection so virulent as well as its epidemiological and microbiological characteristics, clinical presentation, diagnosis, and treatment.
Síndrome de distrés respiratorio agudo provocado por nocardiosis pulmonar en un paciente con lupus eritematoso sistémico
Nocardia es una bacilo grampositivo que infecta principalmente a pacientes inmunodeprimidos. Su asociacion con el lupus eritematoso sistemico se ha descrito pocas veces, y en la bibliografia medica revisada no hemos encontrado ningun caso asociado al sindrome de distres respiratorio agudo por una nocardiosis pulmonar. A partir de un caso clinico se realiza una descripcion de los mecanismos de virulencia de esta bacteria, asi como de las caracteristicas epidemiologicas, microbiologicas, forma de presentacion clinica y procedimientos diagnosticos y terapeuticos de esta entidad.