Nocardial Infection in the Early Period after Kidney Transplantation

Sudeendra Gupta; Ammar Abdulbaki; Sandra El Hajj; Ahmad Nusair; Mohamad Mooty; Nizar Attallah

doi:10.1155/2022/2252825

Nocardial Infection in the Early Period after Kidney Transplantation

Case Rep Infect Dis. 2022 Aug 12:2022:2252825. doi: 10.1155/2022/2252825. eCollection 2022.

Authors

Sudeendra Gupta^{1

2}, Ammar Abdulbaki¹, Sandra El Hajj³, Ahmad Nusair^{2

4}, Mohamad Mooty^{2

4}, Nizar Attallah^{1

2}

Affiliations

¹ Medical Sub-specialties Institute, Department of Nephrology, Cleveland Clinic, Abu Dhabi, UAE.
² Cleveland Clinic Lerner College of Medicine of Case Western University, Cleveland, OH, USA.
³ Department of Pharmacy, Cleveland Clinic, Abu Dhabi, UAE.
⁴ Department of Infectious Diseases, Cleveland Clinic, Abu Dhabi, UAE.

Abstract

Patients with solid organ transplant have weaker immune system and can develop opportunistic infections. Prophylactic antimicrobials can help lower that risk but do not prevent it completely. High index of suspicion increases the chance of diagnosing rare opportunistic infections in immunocompromised patients and helps early and effective treatment. We present a unique case of a patient who developed pneumonia from Nocardia early after kidney transplant despite being on trimethoprim-sulfamethoxazole (TMP-SMX) prophylaxis. He was diagnosed and treated early which helped improving his outcome. We discuss incidence, risk factors, and treatment of nocardiosis post kidney transplant.

Publication types

Case Reports