Pleuro-Pulmonary Nocardiosis as Opportunistic Infection in a Patient with Chronic Hepatitis C under Combination Treatment with Pegylated Interferon, Ribavirin, and Boceprevir

Csilla Putz-Bankuti; Harald H Kessler; Thomas Valentin; Eva Leitner; Emina Talakic; Helmut Schoellnast; Peter Fickert; Guenter J Krejs; Rudolf E Stauber

doi:10.1155/2013/529041

Pleuro-Pulmonary Nocardiosis as Opportunistic Infection in a Patient with Chronic Hepatitis C under Combination Treatment with Pegylated Interferon, Ribavirin, and Boceprevir

Case Reports Hepatol. 2013:2013:529041. doi: 10.1155/2013/529041. Epub 2013 Jul 9.

Authors

Csilla Putz-Bankuti¹, Harald H Kessler², Thomas Valentin³, Eva Leitner⁴, Emina Talakic⁵, Helmut Schoellnast⁵, Peter Fickert⁶, Guenter J Krejs⁶, Rudolf E Stauber⁶

Affiliations

¹ Department of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Austria ; Department of Internal Medicine, LKH Hoergas-Enzenbach, Austria.
² Research Unit Molecular Diagnostics and Molecular Diagnostics Laboratory, IHMEM, Medical University of Graz, Austria.
³ Department of Internal Medicine, Division of Pulmonology, Medical University of Graz, Austria.
⁴ Section of Infectious Diseases, Bacteriology and Mycology Laboratory, IHMEM, Medical University of Graz, Austria.
⁵ Department of Radiology, Medical University of Graz, Austria.
⁶ Department of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Austria.

Abstract

Nocardiosis is an infrequent but serious pulmonary infection caused by Gram-positive aerobic actinomycetes. In this paper, we report on a 48-year-old patient with pleuropulmonary nocardiosis and cirrhosis due to chronic hepatitis C virus infection treated with triple antiviral treatment complicated by prolonged neutropenia.