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...

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Bibliographic Details
Published in:Journal of Clinical Microbiology 2007-07, Vol.45 (7), p.2330-2333
Main Authors: Jinno, Sadao, Jirakulaporn, Tanawat, Bankowski, Matthew J, Kim, Wesley, Wong, Russell
Format: Article
Language:English
Subjects:
Adult
AIDS-Related Opportunistic Infections - diagnosis
AIDS-Related Opportunistic Infections - microbiology
Anti-Bacterial Agents - therapeutic use
Bacteriology
Biological and medical sciences
Case Reports
Fundamental and applied biological sciences. Psychology
HIV Infections - complications
Human viral diseases
Humans
Infectious diseases
Male
Medical sciences
Microbiology
Miscellaneous
Nocardia asteroides
Nocardia asteroides - isolation & purification
Nocardia Infections - diagnosis
Nocardia Infections - etiology
Nocardia Infections - pathology
Pericarditis - diagnosis
Pericarditis - microbiology
Pericarditis - pathology
Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary: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.
ISSN:0095-1137
1098-660X
1098-5530
DOI:10.1128/JCM.00149-07