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Disseminated Nocardia asteroides Infection in an Immunocompetent Woman Following an Arm Injury

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Abstract.

A case of disseminated infection with Nocardia asteroides in a 55-year-old immunocompetent woman after mild trauma to the arm is reported. Secondary dissemination was identified in the skin, right kidney, liver, peritoneal cavity, lungs and thigh. The patient was successfully treated with surgical drainage and a 9-week course of antibiotics including cefotaxime, amikacin, chloramphenicol, trimethoprim/sulfamethoxazole (TMP/SMX) and doxycycline. The administration of TMP/SMX in combination with doxycycline was clinically beneficial despite in vitro resistance.

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Authors and Affiliations

  1. Dept. of Infectious Disease, 3rd Faculty of Medicine, University Hospital Bulovka, Budinova 2, 18081 Prague, Czech Republic.benesj@cesnet.cz, , , , , , CZ

    J. Benes & J. Viechova

  2. Dept. of Infectious Diseases, 2nd Faculty of Medicine, University Hospital Bulovka, Prague, Czech Republic, , , , , , CZ

    D. Picha

  3. Dept. of Clinical Microbiology, University Hospital Bulovka, Prague, Czech Republic, , , , , , CZ

    B. Horova

  4. Dept. of Pneumology and Thoracosurgery, 3rd Faculty of Medicine, University Hospital Bulovka, Prague, Czech Republic, , , , , , CZ

    P. Zatloukal

Authors
  1. J. Benes
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  2. J. Viechova
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  3. D. Picha
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  4. B. Horova
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  5. P. Zatloukal
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Additional information

Received: April 23, 2002 · Revision accepted: October 16, 2002

J. Benes (corresponding author)

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Benes, J., Viechova, J., Picha, D. et al. Disseminated Nocardia asteroides Infection in an Immunocompetent Woman Following an Arm Injury. Infection 31, 112–114 (2003). https://doi.org/10.1007/s15010-003-3073-x

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  • DOI: https://doi.org/10.1007/s15010-003-3073-x

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