title: Disseminated Nocardia brasiliensis infection with septic arthritis.
abstract: 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.
authors.affiliation: Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021.
authors.forename: B S
authors.initials: BS
authors.lastname: Koll
authors.forename: A E
authors.initials: AE
authors.lastname: Brown
authors.forename: T E
authors.initials: TE
authors.lastname: Kiehn
authors.forename: D
authors.initials: D
authors.lastname: Armstrong
mesh_terms: 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*