Disseminated Nocardia asteroides presenting as pulmonary non-caseating granulomas in a patient with Waldenstrom macroglobulinemia

Infection. 2002 Jan;30(1):38-40. doi: 10.1007/s15010-001-2048-z.


Disseminated nocardiosis has never been described before in a patient with Waldenstrom macroglobulinemia. We report an unusual case of disseminated nocardiosis in a patient with Waldenstrom macroglobulinemia who presented with pulmonary non-caseating granulomas. The patient was successfully treated with trimethoprim-sulfamethoxazole (TMP-SMX) for 1 year.

Publication types

  • Case Reports

MeSH terms

  • Abscess
  • Discitis / microbiology
  • Humans
  • Lumbar Vertebrae
  • Male
  • Middle Aged
  • Nocardia Infections / complications*
  • Nocardia Infections / diagnostic imaging
  • Nocardia asteroides*
  • Osteomyelitis / microbiology
  • Plasma Cell Granuloma, Pulmonary / diagnostic imaging
  • Plasma Cell Granuloma, Pulmonary / microbiology*
  • Psoas Abscess / microbiology
  • Radiography
  • Waldenstrom Macroglobulinemia / complications*