• Title/Summary/Keyword: Nocardia

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A Case of Nocardia farcinica Pneumonia and Mediastinitis in an Immunocompetent Patient

  • Kim, Jinyoung;Kang, Minkyu;Kim, Juri;Jung, Sohee;Park, Junhung;Lee, Dongkyu;Yoon, Heejung
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.2
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    • pp.101-103
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    • 2016
  • Nocardia species are aerobic, gram-positive pathogens found worldwide in soil. Nocardia is considered an opportunistic pathogen, and its infection mostly occurs in immunocompromised patients. We report a case of Nocardia farcinica induced mediastinitis and pneumonia that occurred in a 64-year-old male patient who had no significant medical history except for hypertension. He visited another hospital with a complaint of dyspnea and left chest wall pain. The symptoms arose 7 days ago without any trauma and they worsened. A mediastinal mass was found on computed tomography scan. After being transferred to our hospital for further evaluation, he was diagnosed with mediastinitis and pneumonia. As N. farcinica was found to be the causative organism by 16S rRNA sequencing, proper antibiotic therapy including trimethoprim/sulfamethoxazole was initiated immediately. After this, the patient improved and he was discharged. If an infection has a disseminating course, nocardiosis cannot be excluded even in immunocompetent patients. Once the diagnosis is established, prompt antibiotic therapy should be performed based on the severity.

Nocardia의 생리화학적 연구 (제1보) Nocardia SP의 미세구조에 관하여

  • 홍순덕;정기택
    • Proceedings of the Korean Society for Applied Microbiology Conference
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    • 1977.10a
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    • pp.196.3-196
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    • 1977
  • Nocardia sp는 공업폐액의 활성요인로 부터 형태학적으로는 일반세균과 방선균과의 중위위치에 속하는 분류학상 특이한 미생물로서 이의 유녹균으로서는 Corynebacterium, Mycobacterium을 들수있으나 이들과 형태적인 구별은 매우 어렵다. 그러므로 이들 유연균들과 비교하기 위하여 전자현미경에 의한 미세구조를 관찰하였던 바 세포내 unit membrane을 가진 막양구조가 복잡한 형태로 질내에 분포되에 있음을 알았다.(중략)

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Conjunctival fungal flora of the clinically normal pony eye : Including Nocardia and Streptomyces species (임상적으로 건강한 조랑말의 결막 진균총 조사 : Nocardia 종 및 Streptomyces 종을 포함하여)

  • Seo, Kang-moon;Bedford, P.G.C.
    • Korean Journal of Veterinary Research
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    • v.38 no.1
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    • pp.217-225
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    • 1998
  • 영국 Hertfordshire의 두지역에서 사육되고 있는 건강한 조랑말의 결막낭내 상존하고 있는 진균총의 분포도를 조사 비교하고자 36두 조랑말의 양안(총72안)의 상 하 결막낭에서 시료를 채취하여 진균을 분리 동정하였다. 총 76.4%의 안구에서 진균이 발견되었으며, 13종이 분리되었다. 전체적으로 가장 많이 분리된 진균은 Aspergillus spp(27.8%), Nocardia spp(25.0%), Cladosporium spp(19.4%), Penicillium spp(9.7%) 및 Penicillium spp(9.7%)순이었다. 1지역에서는 Nocardia spp와 Cladosporium spp가 가장 많이 분리된 반면, 2지역에서는 Aspergillus spp가 가장 많이 분리되었다. 상 하결막낭내 진균분리율의 차이는 상결막낭에서보다는 하결막낭내에서 진균이 유의성 있게 많이 분리되었다(p<0.05). 시료채취시에 사용된 swab의 상태에 따른 비교에서 건조된 swab과 젖은 swab간에는 통계적 유의성이 없었다.

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Nocardia Brain Abscess Mimicking a Metastatic Brain Tumor: A Severe CNS Infection Requiring Aggressive Management (전이성 뇌암으로 오인된 노카디아 뇌농양: 적극적 치료를 요하는 심각한 중추신경계 감염병)

  • Lee, Aleum;Kim, Hee Kyung
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.1
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    • pp.50-54
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    • 2013
  • Nocardiosis is an uncommon Gram-positive bacterial infection caused by aerobic actinomycetes in the genus Nocardia. Nocardia spp. have the ability to cause localized or systemic suppurative disease in humans and animals. Nocardiosis is typically regarded as an opportunistic infection, but approximately one-third of infected patients are immunocompetent. We report a rare case of pulmonary nocardiosis and a brain abscess caused by Nocardia asteroides in an elderly woman with a history of Crohn's disease. Radiographic imaging revealed a contrast-enhancing lesion with perilesional parenchymal edema that was preoperatively thought to be a neoplasm. The patient experienced aggressive disease progression simulating a metastatic brain tumor. Early diagnosis of norcadiosis, the absence of underlying disease, and the administration of appropriate antibiotics has a positive impact on prognosis. Familiarity with the magnetic resonance and computed tomography findings associated with CNS nocardiosis, such as those presented here, is essential for making an early diagnosis.

The Physiological and Biochemical Studies of Nocardia sp (Part I) Cell Fine Structure of Nocardia sp (Nocardia sp의 생이생화학적연구 (제1보) Nocardia sp의 미세구조에 관하여)

  • 홍순덕
    • Microbiology and Biotechnology Letters
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    • v.5 no.3
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    • pp.133-140
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    • 1977
  • The results of electron microscopic studies on the cell fine structure of Nocardia sp the location of tellurite-reducing enzyme and the reduction part of T. T. C. (Triphenyl tetrazonium chloride) were summarized as follows. As the fine structure of the cell, the membrane-like structure with unit membrane was distributed in the cytoplasm. The membrane-like structure had complicate forms: some of membrane-like structure appeared spiral form. As the metal tellurium salt appeared in the cytoplasm, it is obvious that tellurite and tellurate-reducing enzymes are present in the cytoplasm. Reduction of T. T. C. took place in the cell membrane and the intracellular membrane-like structure. Therefore, it was thought that reduction of tellurate and T. T. C. took place in different parts. T. T. C. formazane formed in the cell was reoxidized by osmic acid which was used as a fixation reagent for the electron microscopic specimen preparation. As 95% T. T. C. formazane was soluble in ethanol and embedding materials and removed out of the cell, an originally formed formazane appeared as electron light part on the electron microscopic image.

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A Case of Pneumonia with Septic Shock Due to Nocardia farcinia in Liver Transplant Patient (간이식 환자에서 발생한 Nocardia farcinia 폐렴 및 패혈성 쇼크 1예)

  • Lee, Su-Hwan;Park, Byung-Hoon;Son, Ji-Young;Jung, Ji-Ye;Kim, Eun-Young;Lim, Ju-Eun;Lee, Ji-Hoon;Hyun, Shin-Young;Lee, Sang-Hoon;Lee, Sang-Kook;Kim, Song-Yee;Lee, Kyung-Jong;Kang, Young-Ae;Kim, Young-Sam;Kim, Se-Kyu;Chang, Joon;Seo, You-Kyung;Lee, Kyoung-Won;Park, Moo-Suk
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.6
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    • pp.469-473
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    • 2010
  • Nocardia farcinia, an aerobic, gram-positive bacilli actinomycetes of the genus Nocardia, is an uncommon pathogen found in humans. The most common Nocardia infection sites are the lung, central nervous system, and skin. Even though hematogenous dissemination can occur, isolation of the organism from blood cultures is very rare. We report a case of Nocardia infection that was isolated on blood cultures. A 59-year-old male with a medical history that includes a liver transplantation 6-years prior due to hepatocellular carcinoma secondary to chronic hepatitis B, developed pneumonia and was transferred to Severance Hospital. At the time of admission, the patient's initial exam showed hypothermia, tachypnea, and hypotension. His chest radiograph showed severe pneumonia and a large abscess on left upper lobe. Under the presumptive diagnosis of bacterial pneumonia or other opportunistic infection, we started broad spectrum antibiotics. However, he developed Nocardia sepsis, rapidly deteriorated, and subsequently died.

Filamentous Bacteria Found in Rotating Biological Contactors Treating Domestic Wastewater (생활하수를 처리하는 회전원판체에서 발견된 사상세균)

  • 정재춘
    • Korean Journal of Microbiology
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    • v.28 no.4
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    • pp.337-344
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    • 1990
  • Slime sampless from 10 ratating biological contactor (RBC) plants in New Jersey were microscopically examined. Filamentous bacteria such as Type 1701, Type 0041, Type 021N, Nocardia, Beggiatoa, and Sphaerotilus, which are commonly present as suspended forms also were found in RBC slimes growing as attached forms. However, the abundance wwas much different from that of activated sludge. In RBC slimes, Beggiatoa was most frequently observed filamentous bacteria and Sphaerotilus, Type 0041, Type 1701, Type 021N and Nocardia were present in decreasing order of abundance. There were morphologically two different types of Behhiatia in RBC slimes. The statistical anaysis shows that filamentous bacterial poulations between the 100 cm inside and the outside the RBC were different in most cases with significant interactions between the location and stage.

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Membrane Injury of Nocardia mediterranei upon Lyophilization and Viability Depending on Rehydration Methods (동결건조법에 있어 Nocardia mediterranei의 세포막 손상과 재수화 방법에 따른 생존도)

  • 이동희;이노운;최남희
    • Microbiology and Biotechnology Letters
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    • v.20 no.3
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    • pp.243-248
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    • 1992
  • In order to examine the viability depending on rehydration process and membrane injury of Nocardia mediterranei upon lyophilization, We labeled $3^H$-thymidine in deoxyribonucleic acid of N. mediterrranei to obtain information on the mechanisms of injury caused by lyophilization. Suspensions of rehydrated cells were incubated with added DNase in a buffer solution. Extracellular radioactivity levels appeared to be high in the rehydrated solutions after lyophilization than freezing-thawing. Thus, the membrane systems were injured by lyophilization, but not ovenvhelmed. These considerations were confirmed by electron microscopy. In effects of rehydration, the cell membrane was seriously damaged by strong atmospheric pressure as soon as the inner ampule was opened, but this was not the case without admitting air under vacuum. N. rnediterranei cells, with no additives, were lyophilized and reconstituted without admitting air, virtually about 84% of the cells were viable.

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De-emulsification of Petroleum Emulsion Using Nocardia amarae (Nocardia amarae를 이용한 석유 유상액의 탈유화)

  • Lee, Ki-Young;Lee, Jin-Jong;Kim, Dong-Won;Na, Kun;Lee, Jae-Chan
    • KSBB Journal
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    • v.13 no.2
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    • pp.209-213
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    • 1998
  • The characteristics of de-emulsification of pertroleum emulsion by Nocardia amarae were investigated. Insoluble medium containing n-hexadecane was more effective than soluble medium in de-emulsification of emulsion containing diesel and bunker C as the organic phase. Emulsion made by the addition of xanthan or bioemulsifier was de-emulsified by N. amarae, and longer culture age was effective. In low viscosity range, organic phase with longer carbon chain was more effective. The contact, angle between bacterial film and water droplet in air increased from 16 degree for 4 day culture age to 26 degree for 15 day. The contact angle between bacterial film and water droplet in kerosene, n-heyxane or n-hexadecane also increased to greater than 100 degree after 3 day culture age. The hydrophobicity of bactgerial film increased according to the culture age.

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