Fulminant Nocardia Colitis: A Case Report
dc.contributor.author | Turer, David | |
dc.contributor.author | Gray, Brian | |
dc.contributor.author | Raghavendran, Krishnan | |
dc.date.accessioned | 2017-12-19T21:17:46Z | |
dc.date.available | 2017-12-19T21:17:46Z | |
dc.date.issued | 2016-08-01 | |
dc.identifier.citation | Turer, David; Gray, Brian; Raghavendran, Krishnan (2016). "Fulminant Nocardia Colitis: A Case Report." Surgical Infections Case Reports 1 (1): 69-71. | |
dc.identifier.uri | https://hdl.handle.net/2027.42/140345 | |
dc.description.abstract | Background: Nocardia infection is a rare but well-recognized side effect of immunosuppressive therapy including tumor necrosis factor-α (TNF-α) antagonists. However, Nocardia colitis has only been previously reported once in the English literature. Case Report: We present a 58-y-old female with history of Crohn disease maintained on multiple medications including infliximab (a TNF-α antagonist). The patient presented to the emergency department with hematochezia and abdominal pain. Computed tomography (CT) scan revealed extensive pneumotosis throughout the bowel as well as mesenteric and portal venous gas. She underwent an exploratory laparotomy that revealed bowel edema without ischemia. No bowel was resected and at a planned second-look laparotomy 48?h later, the bowel appeared normal and the abdomen was closed. Post-operatively, the patient tested negative for Clostridium difficile infection. The blood and abdominal fluid cultures were positive for Nocardia farcinica. Conclusion: The patient had a complicated post-operative course and developed multiple hospital-acquired infections. However, she survived and was placed in sub-acute rehabilitation four weeks after the acute surgical intervention. | |
dc.publisher | Mary Ann Liebert, Inc., publishers | |
dc.title | Fulminant Nocardia Colitis: A Case Report | |
dc.type | Article | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/140345/1/crsi.2016.0013.pdf | |
dc.identifier.doi | 10.1089/crsi.2016.0013 | |
dc.identifier.source | Surgical Infections Case Reports | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.