Long-term treatment of persistent disseminated Nocardia cyriacigeorgica infection


Ozgenc O., Avci M., Ari A., Celebi I. Y., Coskuner S. A.

BRAZILIAN JOURNAL OF INFECTIOUS DISEASES, cilt.18, sa.5, ss.556-560, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1016/j.bjid.2014.03.007
  • Dergi Adı: BRAZILIAN JOURNAL OF INFECTIOUS DISEASES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.556-560
  • Anahtar Kelimeler: Nocardia cyriacigeorgica, Chronic infection, Treatment, FARCINICA, THERAPY
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

In this paper a disseminated persistent Nocardia cyriacigeorgica infection in an immunocompetent patient is described. The patient's long-term treatment, as well as its implications for managing similar cases in the future, is emphasized. Presenting with high fever, multiple nodules, and ulcerative cutaneous lesions of body sites, the patient was treated with various antimicrobials. Under combined therapy, empyema and arthritis, leading to disseminated nocardiosis, were seen. The overall treatment course was 28 months. It can be concluded that the choice of the antibiotics and optimal duration of treatment are uncertain; therefore the treatment of nocardiosis requires expertise. (C) 2014 Elsevier Editora Ltda. All rights reserved.