Primary Nocardia osteomyelitis as a presentation of AIDS.
Human infection with Nocardia species presents as a wide range of clinical syndromes. Nocardia is an important opportunistic pathogen in immunocom-promised patients. We report a case of primary Nocardia asteroides osteomyelitis as the initial clinical presentation of AIDS. The infection was successfully treated with a prolonged course of trimethoprim-sulfamethoxazole in conjunction with HAART. Nocardia osteomyelitis should be recognized as an unusual but important and treatable opportunistic infection in patients living with HIV infection.
Talpada
Moti
M
University of Texas, Medical Branch at Galveston, USA.
Rauf
Shariq J
SJ
Walling
Dennis M
DM
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D000583:Amikacin / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009617:Nocardia Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin