Empyema thoracis due to Nocardia otitidiscaviarum
Chung-Hao Huang, Po-Ren Hsueh, Yen-Hsu Chen
Received: April 3, 2014 Accepted: July 24, 2014
Yen-Hsu Chen, Corresponding author. Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Number 100, Tzyou 1st Road, Kaohsiung 807, Taiwan.
Background and purpose:
We read with interest the article on pulmonary nocardiosis in southern Taiwan by Chen et al.1 In their study, eight of the 20 patients with pulmonary nocardiosis had pleural effusion and three of these patients had empyema thoraces. Among these three nocardial empyema cases, the authors reported a 61-year-old man with diabetes mellitus and chronic liver disease suffering from an acute course of empyema caused by Nocardia otitidiscaviarum.1 N. otitidiscaviarum is a rare pathogen among nocardial infections and pulmonary nocardiosis.