Disseminated Nocardia asteroides infection in an immunocompetent woman following an arm injury.
A case of disseminated infection with Nocardia asteroides in a 55-year-old immunocompetent woman after mild trauma to the arm is reported. Secondary dissemination was identified in the skin, right kidney, liver, peritoneal cavity, lungs and thigh. The patient was successfully treated with surgical drainage and a 9-week course of antibiotics including cefotaxime, amikacin, chloramphenicol, trimethoprim/sulfamethoxazole (TMP/SMX) and doxycycline. The administration of TMP/SMX in combination with doxycycline was clinically beneficial despite in vitro resistance.
Benes
J
J
Dept. of Infectious Disease, 3rd Faculty of Medicine, University Hospital Bulovka, Budinova 2, 18081 Prague, Czech Republic. benesj@cesnet.cz
Viechova
J
J
Picha
D
D
Horova
B
B
Zatloukal
P
P
D001134:Arm Injuries / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007121:Immunocompetence; D008100:Liver Abscess / Q000188:drug therapy / Q000382:microbiology; D008875:Middle Aged; D009617:Nocardia Infections / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D009616:Nocardia asteroides / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed