Disseminated Nocardiosis: A Successful Blind Strategy of Treatment in an HIV Infected Patient.

Autor: Guerra AC; Infectious Diseases Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal., Batista D; Internal Medicine Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal., Aleixo MJ; Infectious Diseases Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal., Saraiva P; Neuroradiology Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal., Aguas MJ; Infectious Diseases Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
Jazyk: angličtina
Zdroj: Case reports in infectious diseases [Case Rep Infect Dis] 2015; Vol. 2015, pp. 260640. Date of Electronic Publication: 2015 Mar 02.
DOI: 10.1155/2015/260640
Abstrakt: Background. Nocardiosis is a rare disease that mainly affects severely immunocompromised patients. Symptoms are nonspecific and microbiological isolation is difficult, hiding the diagnosis. Treatment should be guided by species and susceptibility testing. Findings. We report a clinical case of a disseminated nocardiosis in a patient with HIV and HVB infections. Interpretation. Diagnosis should be presumed early and microbiological conditions should be optimized, in order to identify the species and achieve antibiotic susceptibility testing. This is a very important step to choose an effective therapeutic regimen or alternative options.
Databáze: MEDLINE