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Nocardiosis and Pulmonary Alveolar Proteinosis
- ERIK T. CARLSEN, M.D.;
- ROLLA B. HILL, JR., M.D.; and
- DAVID T. ROWLANDS, JR., M.D.
- Requests for reprints should be addressed to Rolla B. Hill, M.D., University of Colorado Medical Center, 4200 East Ninth Avenue, Denver, Colorado
Excerpt
Included in the original report of pulmonary alveolar proteinosis (1) were two instances in which there was associated nocardiosis. Since that time three additional reports of this association have been recorded (2-4).
Recently a patient with pulmonary alveolar proteinosis and cerebral nocardiosis was recognized at this center. A search of the pathology files was rewarded by the finding of another instance in which pulmonary alveolar proteinosis was associated with nocardiosis. The purpose of this paper is to describe these two cases and to discuss the possible pathogenetic relationship of pulmonary alveolar proteinosis and nocardiosis.
CASE REPORTS CASE 1
The patient
Summario in Interlingua
Es describite duo casos de nocardiosis, le un pulmonar, le altere cerebral, ambes associate con proteinosis del alveolos pulmonar. Le pertinente litteratura es revistate. Le patiente con nocardiosis pulmonar esseva necropsiate, sed le altere—con nocardiosis cerebral—se restabliva sub le effecto de un therapia specific. Le patiente qui moriva habeva essite tractate con steroides.
Un revista del litteratura revelava cinque previe casos de co-occurrentia de proteinosis del alveolos pulmonar con infection nocardial in le mesme patiente. In un del cinque le infection nocardial esseva restringite al cerebro. Therapia a steroide non es mentionate in ulle del casos.
Es reguardate como probabile que patientes con proteinosis del alveolos pulmonar provide un favorabile milieu pro le invasion opportunistic del organismo nocardial. Le relation inter therapia a steroide e superinfection fungal, que se trova frequentemente mentionate in le litteratura, non es supportate per le presente studio.
Article and Author Information
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From the Department of Pathology, University of Colorado Medical Center, Denver, Colorado.
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This work was supported in part by Pathology Training grant TIGM 977-02, United States Public Health Service, Bethesda, Maryland.
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- Received July 31, 1963.
- Accepted September 10, 1963.
