%0 Journal Article
%T Pulm o dos criadores de aves complicado por nocardiose pulmonar Bird fancier's lung complicated by pulmonary nocardiosis
%A Kosaku Komiya
%A Hiroshi Ishii
%A Tetsuo Tsubone
%A Eiji Okabe
%J Jornal Brasileiro de Pneumologia
%D 2013
%I Sociedade Brasileira de Pneumologia e Tisiologia
%X Relatamos o caso de um paciente de 84 anos que foi hospitalizado devido a tosse persistente e dispneia. A radiografia de t¨®rax inicial revelou infiltrados pulmonares. Nocardia asteroides foi detectada no escarro, e o paciente foi tratado com antibi¨®ticos; entretanto, seus sintomas n o melhoraram por completo. O paciente foi hospitalizado v¨¢rias vezes, e os sintomas reapareceram ap¨®s cada alta. Houve a suspeita de pneumonite de hipersensibilidade, sendo o paciente diagnosticado com pulm o dos criadores de aves. ¨¦ prov¨¢vel que a nocardiose pulmonar se desenvolva em pacientes com doen as pulmonares cr nicas, como DPOC, e em hospedeiros imunossuprimidos. At¨¦ onde sabemos, este ¨¦ o primeiro relato de um caso de pulm o dos criadores de aves complicado por nocardiose pulmonar. We report the case of an 84-year-old male who was admitted to the hospital with persistent cough and dyspnea. An initial chest X-ray revealed pulmonary infiltrates. Nocardia asteroides was detected in sputum, and the patient was treated with antibiotics. However, his symptoms did not completely resolve. He was admitted multiple times, and his symptoms relapsed after every discharge. He was finally suspected of having hypersensitivity pneumonitis and was diagnosed with bird fancier's lung. Pulmonary nocardiosis is likely to develop in patients with chronic pulmonary disorders, such as COPD, as well as in immunosuppressed hosts. To our knowledge, this is the first report of a case of bird fancier's lung complicated by pulmonary nocardiosis.
%K Hipersensibilidade respirat¨®ria
%K Pulm o dos criadores de aves
%K Nocardia asteroides
%K Alveolite al¨¦rgica extr¨ªnseca
%K Respiratory hypersensitivity
%K Bird fancier's lung
%K Nocardia asteroides
%K Alveolitis
%K extrinsic allergic
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132013000100015