Rare case of Nocardia asteroides pericarditis in a human immunodeficiency virus-infected patient.
Nocardia asteroides was isolated after prolonged culture from the pericardial fluid of a human immunodeficiency virus-infected patient. The lengthy duration required for culture growth and identification of this N. asteroides isolate affected both initial therapeutic decisions and patient management. A proposed algorithm for the microbiological workup of pericardial fluid for possible Nocardia spp. is described in an effort to improve the timeliness of results.
Jinno
Sadao
S
University of Hawaii Internal Medicine Program, Honolulu, HI 96814, USA. sadao@gmail.com
Jirakulaporn
Tanawat
T
Bankowski
Matthew J
MJ
Kim
Wesley
W
Wong
Russell
R
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D009616:Nocardia asteroides / Q000302:isolation & purification*; D010493:Pericarditis / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination