[Nocardia infection in heart transplant recipients].
BACKGROUND
The incidence of Nocardia infection in transplant patients ranges between 0.7 and 3% with a high mortality (26-63%). This fact, together with a median time to diagnosis in about two weeks ago that the state of alertness is of vital clinical importance.


METHODS
From a cohort of 570 cardiac transplant patients, we reviewed the medical records of those who underwent the diagnosis of Nocardia infection during follow-up.


RESULTS
We identified four cases (incidence 0.73%), two scattered. In all, had pulmonary involvement. Mortality was high (2 of 4 patients).


CONCLUSIONS
In cardiac transplant patients Nocardia infection is rare but has a high mortality, being necessary an early diagnosis to establish an appropriate treatment.
Raso-Raso
R
R
Servicio de Cardiología, Unidad de Trasplante e Insuficiencia Cardiaca, Hospital Universitario la Fe, Valencia, España. rafaelraso@comv.es
Martínez-Dolz
L V
LV
Almenar-Bonet
L
L
Navarro-Manchón
J
J
Blanes-Juliá
M
M
Salvador-Sanz
A
A
D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000453:epidemiology* / Q000209:etiology*; D012189:Retrospective Studies