title: Disseminated Nocardia otitidiscaviarum in a patient with AIDS.
abstract: A case of disseminated infection due to Nocardia otitidiscaviarum is described in a Caucasian man infected with the human immunodeficiency virus. The patient presented with no previous AIDS-defining conditions, a CD4 lymphocyte count of 206 cells/mm(3) and enlarging intra-abdominal and chest wall abscesses with bilateral pulmonary infiltrates. Aggressive surgical debridement and antimicrobial therapy with trimethoprim/sulfamethoxazole and amikacin resulted in clinical cure. Long term suppressive therapy was needed to prevent relapse.
authors.affiliation: Haven (HIV) Clinic, Laurentian Hospital, Sudbury, Ontario; Ontario Ministry of Health, Laboratory Services Branch, Etobicoke, Ontario; University of Toronto, Department of Clinical Biochemistry, Toronto, Ontario.
authors.forename: R M
authors.initials: RM
authors.lastname: Sandre
authors.forename: R C
authors.initials: RC
authors.lastname: Summerbell