Successful treatment of a pancreatic Nocardia asteroides abscess with amikacin and surgical drainage.
A retroperitoneal Nocardia asteroides abscess was diagnosed in a 76-year-old patient. Trimethoprimsulfamethoxazole treatment for 6.5 weeks failed after surgical drainage of the abscess, and superinfection occurred. Subsequent treatment with amikacin resulted in a cure after 7 weeks. Amikacin might significantly shorten the duration of treatment in disseminated nocardiosis.
D000038:Abscess / Q000188:drug therapy* / Q000601:surgery; D000368:Aged; D000583:Amikacin / Q000627:therapeutic use*; D004322:Drainage; D006801:Humans; D007612:Kanamycin / Q000031:analogs & derivatives*; D008297:Male; D009617:Nocardia Infections / Q000188:drug therapy* / Q000601:surgery; D009616:Nocardia asteroides; D010182:Pancreatic Diseases / Q000188:drug therapy* / Q000601:surgery
D007612:Kanamycin; D000583:Amikacin