Nocardia farcinica as the causative agent in a primary psoas abscess in a previously healthy cattle inspector.
A 42-year-old, previously healthy cattle inspector presented with a 7-day history of fever, a painful left knee, malaise and muscular pain. He did not suffer from an underlying disease, nor was he immunocompromised. After 12 days of hospitalization, a unilocular abscess in the left psoas muscle was diagnosed. Nocardia farcinica was isolated from the aspirate. No connection with his work could be demonstrated. The patient was successfully treated with trimethoprim-sulfamethoxazole for 11 months.
Smit
L H M
LH
Department of Surgery, Medisch Centrum Leeuwarden and Public Health Laboratory, PO Box 30039, 9700 RM Groningen, The Netherlands.
Leemans
R
R
Overbeek
B P
BP
D000328:Adult; D000822:Animal Husbandry; D000818:Animals; D002417:Cattle; D006801:Humans; D008297:Male; D009615:Nocardia / Q000187:drug effects / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D016659:Psoas Abscess / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D016658:Psoas Muscles / Q000382:microbiology; D011859:Radiography; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000494:pharmacology
D015662:Trimethoprim, Sulfamethoxazole Drug Combination