Nocardia asteroides pericarditis in association with HIV.
This case report describes Nocardia pericarditis in a newly diagnosed human immunodeficiency virus (HIV) patient as an initial manifestation. Previously, two cases of Nocardia pericarditis were reported in patients with established HIV infection. To our knowledge this is the first case of Nocardia pericarditis as an initial manifestation of HIV infection. This case substantiates and emphasizes the importance of identifying Nocardia as an infectious cause of pericarditis in patients with acquired immunodeficiency. Long-term survival may be achieved with a combined medical and surgical approach.
Ramanathan
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P
Department of Internal Medicine Education, Division of Geriatrics, Memorial Health University Medical Center, Mercer University School of Medicine, Savannah, Georgia 31403-3089, USA. Rahimi@memorialmed.com
Rahimi
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AR
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D002637:Chest Pain / Q000382:microbiology; D003131:Combined Modality Therapy; D003371:Cough / Q000382:microbiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004417:Dyspnea / Q000382:microbiology; D006801:Humans; D008297:Male; D008911:Minocycline / Q000627:therapeutic use; D009617:Nocardia Infections / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology* / Q000628:therapy; D009616:Nocardia asteroides; D010490:Pericardial Effusion / Q000382:microbiology; D010491:Pericardial Window Techniques; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology* / Q000628:therapy
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D002443:Ceftriaxone; D008911:Minocycline