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Chest, Vol 92, 1107-1108, Copyright © 1987 by American College of Chest Physicians

ARTICLES

Bronchiolitis obliterans and Nocardia asteroides infection of the lung

M Camp, JB Mehta and M Whitson
Department of Internal Medicine, Quillen-Dishner College of Medicine, East Tennessee State University, Johnson City 37601.

This report describes a patient with right lower lung (RLL) pneumonia of a subacute nature. Sputum and bronchial washings both grew N asteroides. Open lung biopsy showed bronchiolitis obliterans. Both the clinical and radiologic picture dramatically improved during three weeks of treatment with trimethoprim and sulfamethoxazole (TMP - SMX), indicating the possibility that N asteroides infection contributed to bronchiolitis obliterans pneumonia in this patient.


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