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Case Reports
. 2007 Jul;45(7):2330-3.
doi: 10.1128/JCM.00149-07. Epub 2007 May 16.

Rare case of Nocardia asteroides pericarditis in a human immunodeficiency virus-infected patient

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Case Reports

Rare case of Nocardia asteroides pericarditis in a human immunodeficiency virus-infected patient

Sadao Jinno et al. J Clin Microbiol. 2007 Jul.

Abstract

Nocardia asteroides was isolated after prolonged culture from the pericardial fluid of a human immunodeficiency virus-infected patient. The lengthy duration required for culture growth and identification of this N. asteroides isolate affected both initial therapeutic decisions and patient management. A proposed algorithm for the microbiological workup of pericardial fluid for possible Nocardia spp. is described in an effort to improve the timeliness of results.

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Figures

FIG. 1.
FIG. 1.
A CT scan of the chest showing a large loculated pericardial effusion in the patient.
FIG. 2.
FIG. 2.
Algorithm for the identification of Nocardia spp., mycobacteria, and other bacteria. Abbreviations: pos, positive; MTB, M. tuberculosis; MAC, M. avium complex; MAI, M. avium-intracellulare.

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