Nocardiosis in a recently transplanted renal patient

Sai Subhodhini Reddy, J. L. Holley

Research output: Contribution to journalArticle

Abstract

Opportunistic infections are common after renal transplantation because of the use of immunosuppression. Nocardiosis is a rare but important cause of morbidity and mortality among renal transplant recipients. Depending upon the transplant center, the estimated incidence of nocardiosis among renal transplant recipients varies widely from 0 to 20%. We report the first case of nocardiosis in a recently transplanted renal patient maintained on tacrolimus, prednisone, and mycophenolate mofetil. It is likely that the nocardial infection in our patient was related to the development of her diabetes mellitus, and to her early episode of rejection and treatment which included high-dose steroids, and the addition of mycophenolate mofetil. Our case illustrates the importance of maintaining a heightened awareness so that nocardiosis may be diagnosed early and treated successfully.

Original languageEnglish (US)
Pages (from-to)123-127
Number of pages5
JournalClinical Nephrology
Volume50
Issue number2
StatePublished - Aug 1 1998
Externally publishedYes

Keywords

  • Mycophenolate mofetil
  • Nocardiosis
  • Renal transplant
  • Tacrolimus
  • Trimethoprim-sulfamethoxazole

ASJC Scopus subject areas

  • Nephrology

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