Long-term treatment of persistent disseminated Nocardia cyriacigeorgica infection.
In this paper a disseminated persistent Nocardia cyriacigeorgica infection in an immunocompetent patient is described. The patient's long-term treatment, as well as its implications for managing similar cases in the future, is emphasized. Presenting with high fever, multiple nodules, and ulcerative cutaneous lesions of body sites, the patient was treated with various antimicrobials. Under combined therapy, empyema and arthritis, leading to disseminated nocardiosis, were seen. The overall treatment course was 28 months. It can be concluded that the choice of the antibiotics and optimal duration of treatment are uncertain; therefore the treatment of nocardiosis requires expertise.
Dokuz Eylul University Hospital, Clinics of Infectious Diseases, Karsiyaka, Izmir, Turkey. Electronic address: ozgenc.onur@gmail.com.
Onur
O
Ozgenç
Izmir Bozyaka Teaching and Research Hospital, Clinics of Infectious Diseases and Clinical Microbiology, Izmir, Turkey.
Meltem
M
Avcı
Izmir Bozyaka Teaching and Research Hospital, Clinics of Infectious Diseases and Clinical Microbiology, Izmir, Turkey.
Alpay
A
Arı
Bursa Inegol Public Hospital, Clinics of Infectious Diseases, Bursa, Turkey.
Ismail Yunus
IY
Celebi
Izmir Bozyaka Teaching and Research Hospital, Clinics of Infectious Diseases and Clinical Microbiology, Izmir, Turkey.
Seher Ayten
SA
Coşkuner
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008134:Long-Term Care; D008875:Middle Aged; D009615:Nocardia / Q000145:classification / Q000187:drug effects* / Q000302:isolation & purification; D009617:Nocardia Infections / Q000188:drug therapy* / Q000473:pathology; D017192:Skin Diseases, Bacterial / Q000188:drug therapy* / Q000473:pathology
D000900:Anti-Bacterial Agents
Chronic infection; Nocardia cyriacigeorgica; Treatment