[Systemic nocardiosis with mediastinal lymph node involvement proven by endoscopic ultrasound].

Rev Mal Respir

Service de pneumologie et de cancérologie thoracique, l'hôpital Nord Ouest, Villefranche sur Saône, France.

Published: June 2022

Introduction: Systemic nocardiosis is an infectious disease that is rarely associated with mediastinal lymph nodes.

Case Report: We report the case of a 72-year-old male patient treated with a high dose of oral corticosteroids for rheumatoid polyarthritis. This patient presented with rapid overall deterioration associated with mediastinal lymph nodes. Endobronchial ultrasound enabled us to establish a diagnosis of systemic nocardiosis. The patient recovered after having received suitable antibiotic treatment for four months.

Conclusion: This work reports on a rare clinical presentation of systemic nocardiosis associated with mediastinal lymphadenopathies and highlights the key role of endobronchial ultrasound in diagnosing mediastinal lymph nodes, especially in differential diagnosis for lung cancer.

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http://dx.doi.org/10.1016/j.rmr.2021.12.012DOI Listing

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