Disseminated Nocardia brasiliensis infection with septic arthritis.
An unusual case of disseminated Nocardia brasiliensis infection is presented. The patient, who had been receiving chronic dexamethasone therapy for 4 years, had pneumonia and septic arthritis of the left knee due to N. brasiliensis. To our knowledge, this is the first report from the United States of a synovial joint infection with this organism. Disseminated disease due to N. brasiliensis is infrequently reported; it is most often seen in the immunocompromised patient and is often unresponsive to therapy.
Koll
B S
BS
Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021.
Brown
A E
AE
Kiehn
T E
TE
Armstrong
D
D
D000328:Adult; D001170:Arthritis, Infectious / Q000382:microbiology*; D006801:Humans; D007719:Knee Joint / Q000382:microbiology*; D008168:Lung / Q000382:microbiology; D008297:Male; D009615:Nocardia / Q000302:isolation & purification; D009617:Nocardia Infections / Q000503:physiopathology*