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. 2021 Oct 27;26:e01322. doi: 10.1016/j.idcr.2021.e01322

Table 1.

Summary of reported cases with elevated beta-D-glucan in association with nocardiosis.

Age/sex Relevant comorbidities Immunosuppression Antimicrobial prophylaxis Diagnosis Species Diagnostic methods Negative fungal diagnostics Peak BDG level Potential BDG confounders Outcome Reference
65/F Autoimmune hemolytic anemia Not reported None CNS Nocardia abscessus Histopathology, 16S ribosomal DNA sequencing Serum cryptococcal antigen, serum galactomannan level, fungal CSF culture >523 pg/mL (CSF); serum BDG negative None Not reported [10]
86/F Colorectal cancer, diabetes mellitus 6-month dexamethasone (4 mg/day) course None Pulmonary Nocardia nova Cytology, 16S rRNA sequencing Aspergillus antigen, Aspergillus precipitating antibody, fungal sputum culture ≥300 pg/mL None Clinical improvement then death from underlying malignancy [11]
73/M Cryptogenic organizing pneumonia 10-month steroid and immunosuppressive regimen None Disseminated (pulmonary and CNS) Nocardia farcinica Histopathology, 16S rRNA sequencing Serum cryptococcal antigen 94.7 pg/mL Intravenous ampicillin-sulbactam use, serum galactomannan level elevated Clinical improvement then death from aspiration pneumonia [12]

Abbreviations: BDG, beta-D-glucan; CNS, central nervous system; CSF, cerebrospinal fluid; DNA, deoxyribonucleic acid; rRNA, ribosomal ribonucleic acid.