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- W2319781153 abstract "A 68-year-old man on continuous ambulatory peritoneal dialysis (CAPD) since 1991 received a cadaveric kidney transplant in December 1994. Baseline immunosuppression was with prednisolone, cyclosporin and azathioprine, but this was modified to exclude cyclosporin because of prolonged primary non-function. Biopsy-proven rejection episodes were treated with methylprednisolone. Transplant function remained poor and he continued on regular CAPD. In early May 1995 he was noted by his relatives to be uncharacteristically confused and aggressive. He developed fever and a painful left shoulder and was admitted to hospital. He had a painful and inflamed left shoulder, there were bilateral basal chest crackles and neurological examination was unremarkable. A shoulder aspirate contained pus cells and Gram-positive branching rods. The culture yielded a pure growth of Nocardia sp. which was later identified as Nocardia asteroides by the Bristol Public Health Laboratory. A chest X-ray snowed discrete basal linear shadows. Sputum culture was negative." @default.
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- W2319781153 date "1996-04-01" @default.
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- W2319781153 title "Atypical presentation of systemic nocardiosis and successful treatment with meropenem" @default.
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- W2319781153 doi "https://doi.org/10.1093/oxfordjournals.ndt.a027368" @default.
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