First Reported Nocardia Otitidiscaviarum Infection in an AIDS Patient in Italy

Overview

Journal Mycopathologia

Specialties Microbiology
Pharmacology

Date 1994 Jun 1

PMID 7935727

Citations 9

Authors

L Castelli

H Zlotnik

R Ponti

V Vidotto

Affiliations

Soon will be listed here.

Abstract

Nocardiosis is a well-described infection in immunocompromised patients, and has been rarely documented in patients with AIDS. Nocardia asteroides is the most frequently isolated etiologic agent. Rare cases are due to N. brasiliensis and N. otitidiscaviarum. This work describes the first case of nocardiosis in Italy caused by N. otitidiscaviarum in an AIDS patient. A 31 year-old intravenous drug abuser with a diagnosis of full-blown AIDS, presented with high fever and lymphadenitis with a fistula draining copious purulent discharge. Broad-spectrum antibiotic therapy was initiated, but the patient did not shown any improvement. Direct examination of the pus revealed numerous gram positive rods. When cultured N. otitidiscavarium was isolated and identified by morphological and biochemical tests.

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