Table 1.
Patient No. | Age/Sex/Ethnicity | Anti–GM-CSF Autoantibody Status | Nocardia Speciation and Sites | Other Infections | Comorbidities/ Other Autoimmunity | Absolute CD4 Count | Absolute Neutrophil Count | DHR Analysis | IgG Level | Follow- up | Comments |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 44/M/US white | Positive | N. paucivorans (brain) | None | None | 849 cells/µL | 2840 cells/µL | Normal | 483 mg/dL | Resolved; Stable on TMP-SMX prophylaxis | |
2 | 73/M/white Portuguese | Positive | Nocardia unspeciated (cutaneous) | Pulmonary aspergillosis | None | 221 cells/µL | 8870 cells/µL | Not done | 2240 mg/dL | Stable on TMP-SMX, AMC, and GM-CSF | |
3 | 61/M/US white | Positive | N. farcinica (brain) | None | None | 397 cells/µL | 4770 cells/µL | Normal | 704 mg/dL | Stable on TMP-SMX, MXF, and GM-CSF | |
4 | 50/M/US white | Positive | N. paucivorans (brain) | None | None | 707 cells/µL | 1900 cells/µL | Normal | 818 mg/dL | Complete recovery after 12 mo antibiotic therapy. Off antibiotics for >1 y | Previously reported [19] |
5 | 52/F/African American | Positive | N. asteroides (lung, brain) | Disseminated cryptococcosis | Type II diabetes mellitus (hemoglobin A1C 8.6%), prior necrotizing pancreatitis | 403 cells/µL | 3190 cells/µL | Not done | 965 mg/dL | Off antibiotics, no signs of PAP to date | Previously reported [20] |
6 | 18/M/US white | Negative | N. transvalensis (CNS) | None | Developed panhypopituitarism from infection | 726 cells/µL | 2900 cells/µL | Normal | 424 mg/dL | Resolved | Previously reported [21]; mild hypo- gammaglobulinemia likely steroid induced |
7 | 54/F/US white | Negative | N. beijingensis (lung, presumed CNS) | Chronic pulmonary infections: MAC, Aspergillus, Stenotrophomonas, Serratia | Bronchiectasis | 842 cells/µL | 2110 cells/µL | Normal | 1160 mg/dL | Unknown |
Abbreviations: AMC, amoxicillin/clavulanate; CNS, central nervous system; DHR, dihydrorhodamine; GM-CSF, granulocyte macrophage colony-stimulating factor; IgG, immunoglobulin G; MAC, Mycobacterium avium complex; MXF, moxifloxacin; PAP, pulmonary alveolar proteinosis; TMP-SMX, trimethoprim-sulfamethoxazole.