Nocardia veterana: disseminated infection with urinary tract infection

Autor: Elodie Poisnel, Jean-Baptiste Roseau, Cécile Landais, Veronica Rodriguez-Nava, Emmanuel Bussy, Tiphaine Gaillard
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 19, Iss 2, Pp 216-219 (2015)
Druh dokumentu: article
ISSN: 1413-8670
DOI: 10.1016/j.bjid.2014.11.003
Popis: Nocardia spp. are a group of aerobic actinomycetes widely distributed in soil, and associated with severe opportunistic infections, essentially pulmonary infections.We report the first case of disseminated infection associated with urinary tract infection caused by Nocardia veterana. The diagnosis was difficult; despite the presence of pulmonary nodules, the lung biopsies remained negative while only one aerobic blood culture and the urine culture were positive for N. veterana, identified after a 16S rDNA gene sequence analysis.Few cases of clinical importance due to N. veterana have been published since its characterization. The bacteriological diagnosis of nocardiosis can be difficult to establish because of the delayed growth and the specific techniques that are required. This case illustrates the necessity of performing specific investigations in immunocompromised patients who present with infectious disease because the severity of this infection requires early diagnosis and quick initiation of appropriate antibiotic therapy. Keywords: Nocardia veterana, Urinary tract infection, MALDI-TOF MS system, 16S rDNA gene sequencing
Databáze: Directory of Open Access Journals