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Vorausgegangen war die Diagnosestellung einer Autoimmunhepatitis mit Einleitung einer immunsuppressiven Therapie und Auftritt zweier Pneumonien mit opportunistischen Erregern. Die Bildgebung erbrachte einen \u201eomental cake\u201c mit Verdacht auf Peritonealkarzinose. Bei Auftritt eines akuten Abdomens erfolgte eine explorative Laparotomie, hierbei zeigten sich intraabdominelle Abszesse. Anhand von Blutkulturen und des intraoperativ gewonnenen Materials wurde eine disseminierte Nocardiose diagnostiziert. 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