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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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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
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description 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.
doi_str_mv 10.1128/JCM.00149-07
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Mailing address: University of Hawaii Internal Medicine Program, 1560 Kanunu Street #1309, Honolulu, HI 96814. Phone: (808) 389-7952. Fax: (808) 946-9640. E-mail: sadao@gmail.com</notes><abstract>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.</abstract><cop>Washington, DC</cop><pub>American Society for Microbiology</pub><pmid>17507517</pmid><doi>10.1128/JCM.00149-07</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source American Society for Microbiology Journals; PubMed Central
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
title Rare Case of Nocardia asteroides Pericarditis in a Human Immunodeficiency Virus-Infected Patient
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