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. 2017 Apr 12;9(4):e1160. doi: 10.7759/cureus.1160

Table 1. Prior Cases of Adrenal Abscesses Associated with Disseminated Nocardiosis.

AIDS - acquired immune deficiency syndrome; RA - rheumatoid arthritis; TNF - tumor necrosis factor; TPN - total parenteral nutrition; HD - hemodialysis; IVC - inferior vena cava; CNS - central nervous system 

No. Reference Age/Sex Presenting symptoms Predisposing Factor Abscess Location Metastatic spread Adrenal intervention? Nocardia spp. Death
1 Kim, et al. [9] 38/Male Left upper quadrant abdominal pain, fever, chills Yes (AIDS) Left Paraaortic and mesenteric lymphadenopathy Laparoscopic drainage Asteroides Yes
2 Arabi, et al. [7] 39/Male Epigastric pain, fever, vomiting Yes (AIDS) Bilateral CNS None Asteroides No
3 Midiri, et al. [10] 49/Female Fever, left flank pain Yes (chronic steroids for RA) Left Spleen Adrenalectomy Asteroides No
4 Chong, et al. [8] 34/Male Fever, left loin pain, hematuria Yes (AIDS) Left None Laparoscopic drainage Asteroides No
5 Tachezy, et al. [5] 71/Female Fever, non-productive cough, adynamia Yes (malnutrition) Right Right hepatic capsule, right renal capsule, IVC, CNS Adrenalectomy with resection of IVC, diaphragm, retroperitoneum, and Gerota’s fascia Farcinica No
6 Al Tawfiq, et al. [4] 66/Female Fever, left upper quadrant pain Yes (TNF -alpha therapy for chronic psoriasis) Bilateral Left renal vein, spleen, retroperitoneal & mesenteric lymphadenopathy None Farcinica Yes
7 de Montmollin, et al. [6] 59/Female Fever, right lumbar region pain Yes (chronic TPN, HD, malnutrition) Right None Laparoscopic drainage Farcinica, araoensis, otitidiscaviarum Yes
8 This case 69/Male Fever, night sweats, left upper quadrant abdominal pain No Left CNS, bone marrow, left renal vein None Farcinica No