A Case of Disseminated Nocardiosis in an Elderly Patient Receiving Long-Term Glucocorticoid Therapy for Polymyalgia Rheumatica

Yuya Sato; Yasuhito Hamaguchi; Taketo Kubo; Takashi Matsushita

doi:10.3899/jrheum.2025-1082

Research ArticleImages in Rheumatology

A Case of Disseminated Nocardiosis in an Elderly Patient Receiving Long-Term Glucocorticoid Therapy for Polymyalgia Rheumatica

Yuya Sato, Yasuhito Hamaguchi, Taketo Kubo and Takashi Matsushita

The Journal of Rheumatology February 2026, jrheum.2025-1082; DOI: https://doi.org/10.3899/jrheum.2025-1082

Yuya Sato

Y. Sato, MD, Department of Dermatology, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Ishikawa, Japan.

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Yasuhito Hamaguchi

Y. Hamaguchi, MD, PhD, Department of Dermatology, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Ishikawa, Japan.

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ORCID record for Yasuhito Hamaguchi

Taketo Kubo

T. Kubo, MD, Department of Infectious Diseases and Laboratory Medicine, Graduate School of Medical Sciences, Kanazawa University, Ishikawa, Japan.

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Takashi Matsushita

T. Matsushita, MD, PhD, Department of Dermatology, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Ishikawa, Japan.

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Abstract

Disseminated nocardiosis is a potentially fatal infection in immunocompromised patients.¹ Historically, Nocardia identification required prolonged time,² and treatment delay was associated with poor outcomes.

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The Journal of Rheumatology

Vol. 53, Issue 3

1 Mar 2026

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A Case of Disseminated Nocardiosis in an Elderly Patient Receiving Long-Term Glucocorticoid Therapy for Polymyalgia Rheumatica