Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

A Case of Pulmonary Nocardiosis in the Patient with Cushing's Disease

쿠싱병에 동반된 폐 노카르디아증 1예

  • Lee, So-Young (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Oh, Yeon Mok (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lim, Chae-Man (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Sang Do (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Koh, Younsuck (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Woo Sung (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Dong Soon (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Won Dong (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Shim, Tae Sun (Division of Pulmonary & Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center)
  • 이소영 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 오연목 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 임채만 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이상도 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김우성 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김동순 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 김원동 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 심태선 (울산대학교 의과대학 서울아산병원 호흡기내과)
  • Received : 2004.01.29
  • Accepted : 2004.05.31
  • Published : 2004.07.30
Download PDF
⟨ Previous Next ⟩

Abstract

Even though nocardiosis is one of opportunistic infections, and can occur in Cushing's syndrome, it rarely occurs in patients with Cushing's disease. Herein, a case with Cushing's disease in whom nocardiosis had manifested as a pulmonary lesion, which after percutaneous needle aspiration, empyema and a breast abscess were also noted.

노카르디아증은 기회감염성질환의 일종이지만 쿠싱병 환자에서는 아주 드물게 보고되고 있다. 저자들은 쿠싱병을 가진 52세 여자환자에서 폐결절로 발현하고, 이후 경피적 폐생검후 농흉 및 유방 농양이 발생한 노카르디아증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

  1. Tania CS, Jonathan RI, David HM. Chapter 244. Nocardial species. In: David H, Lerner PI, Mandell GL, Douglas RG Jr, Bennett JE, editors. Principles and Practice of Infectious Diseases. $5^{th}$ ed. Edinburgh: Churchill Livingstone, Inc.:1990. p. 1926-32
  2. Weed LA, Andersen HA, Good CA, Baggenstoss AH. Nocardiosis: clinical, bacteriologic and pathological aspects. N Engl J Med 1955;253:1137-43
  3. Voravud N, Shin DM, Dekmezian RH, Dimery I, Lee JS, Hong WK. Implantation metastasis of carcinoma after percutaneous fine-needle aspiration biopsy.Chest 1992;102:313-5
  4. Findlay JC, Arafah BM, Silverman P, Aron DC. Cushing's syndrome with cranial and pulmonary lesions: necessity for tissue diagnosis. South Med J 1992;85:204-6
  5. Graham BS, Tucker WS Jr. Opportunistic infections in endogenous Cushing's syndrome. Ann Intern Med 1984;101:334-8
  6. Baxter JD, Harris AW. Mechanism of glucocorticoid action: general features, with reference to steroidmediated immunosuppression. Transplant Proc 1975;7:55-65
  7. Kronfol Z, Starkman M, Schteingart DE, Singh V, Zhang Q, Hill E. Immune regulation in Cushing's syndrome: relationship to hypothalamic-pituitaryadrenalaxis hormones. Psychoneuroendocrinology 1996;21:599-608
  8. Boscaro M, Fallo F, Sonino N. Disseminated nocardiosis in a patient with Cushing's syndrome. J Endocrinol Invest 1994;17:443-5
  9. Yim JJ, Yoo CG, Han SK, Kim SY, Im JG, Shim YS, et al. Implantation of tuberculosis into the chest wall as a complication of fine needle aspiration of pulmonary tuberculoma. Int J Tuberc Lung Dis 1998;2:775
  10. Kim JH, Yoon KH, Yoo JH, Kang HM, Suh JT. A case of nocardiosis. Tuberc Respir Dis 1992;39:355-60
  11. Yang CW, Kim YS, Bang BK, Park JH, Chae EY, Kim YK, et al. A case of empyema thorax and intraabdominal abscess caused by nocardia species. Korean J Nephrol 1999;18:825-9
  12. George RB, Penn RL, Kinasewitz GT. Mycobacterial, fungal, actinomycotic and nocardial infections of the pleura. Clin Chest Med 1985;6:63-75
  13. Rubin E, Shin MS. Pleural and extrapleural disease in Nocardia infections. J Can Assoc Radiol 1984;35:189-91