Failure of sulfonamides and trimethoprim in the treatment of nocardiosis

Autor: A M, Stamm, D W, McFall, W E, Dismukes
Rok vydání: 1983
Předmět:
Zdroj: Archives of internal medicine. 143(2)
ISSN: 0003-9926
Popis: An immunocompromised patient with Nocardia brasiliensis pneumonia and empyema acquired disseminated disease due to Nocardia asteroides and died. The treatment of choice for pulmonary or disseminated nocardiosis is 6 to 12 g/day of sulfisoxazole (or adjusted dosage to achieve a serum level of 100 to 150 mg/L) continued for six to 18 months. Combination therapy may be beneficial in selected patients; if trimethoprim therapy is used with sulfonamides, higher than usual doses of trimethoprim may be required to achieve optimal antinocardial activity. When the condition of a patient with nocardiosis falls to improve on sulfonamide therapy, patient compliance should be questioned, serum sulfonamide levels should be measured, cultures and susceptibility studies should be repeated, and a search for sequestered pus should be made.
Databáze: OpenAIRE