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Bovine nasal eosinophilic, granuloma with blood eosinophilia caused by Nocardia species.

OBJECTIVE: To describe a case of nocardial nasal granuloma in a Holstein heifer. CLINICAL FEATURES: The heifer showed laboured respiration and occasional coughing with granulomatous excrescences on the bilateral nasal mucosa, and a marked leucocytosis with eosinophilia. NECROPSY: Severe granulomatous inflammation with eosinophils, epithelioid cells, giant cells and Nocardia sp obstructed both nasal passages completely. CONCLUSION: This lesion resulted from chronic infection with Nocardia sp and is distinct from other forms of bovine nasal granuloma, also called atopic rhinitis or chronic granular rhinitis, which we propose should be classified as bovine allergic granular rhinitis. The most appropriate name for the present disease is bovine nasal eosinophilic granuloma.

Animals↗

A case of nocardiosis with an uncharacteristically long incubation period.

We report a case of an immunocompetent man with a 4-year history of persistent pruritic lesions along the long axis of his forearm. The symptoms began 3 years after the patient immigrated to New York from Mexico. A histopathologic evaluation demonstrated primary cutaneous nocardiosis. This rare case of Nocardia brasiliensis infection in a nontropical area raises the possibility that the incubation period for Nocardia may be longer than previously believed. Alternatively, cutaneous nocardiosis may occur in a wider geographic area than previously recognized.

Adult↗

Inhibition of Nocardia asteroides by neutrophils.

Neutrophils are found in lesions of Nocardia asteroides infection, but neutrophils kill few nocardiae in vitro. For determination of neutrophil inhibition of nocardiae, neutrophils and nocardiae were incubated together. Filament formation and amino acid uptake by nocardiae were inhibited for 7.5 hr. Thereafter, nocardiae extended long filaments from within neutrophils to the outside and increased their rate of amino acid uptake. Addition of freshly isolated neutrophils at 7.5 hr of incubation prolonged the inhibition. Electron micrographs revealed that neutrophils phagocytosed nocardiae but that most nocardiae did not appear damaged. Formalin and 2-deoxy-D-glucose abrogated the inhibition by neutrophils. Lysozyme and granule-cationic proteins inhibited amino acid uptake under some conditions. Lactoferrin and lactic acid had no effect, and the oxidative metabolic burst was not required. These findings and clinical observations suggest that inhibition of N. asteroides by neutrophils may be important in vivo.

Amino Acids↗

Experience with Nocardia asteroides in renal transplant recipients.

Six cases of Nocardia asteroides infection in renal transplant recipients are described. Respiratory symptoms predominated, complicated in one case by cerebral abscess. General dissemination did not occur in any patient. Environmental testing failed to show source(s) of the organism. Nocardiosis patients should be isolated to prevent airborne spread to renal transplant recipients, who are prone to infection and from whom specimens for culture should be incubated for at least 7 days to exclude Nocardia spp.

Adult↗