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Case Reports
. 2014 Sep-Oct;18(5):556-60.
doi: 10.1016/j.bjid.2014.03.007. Epub 2014 May 13.

Long-term treatment of persistent disseminated Nocardia cyriacigeorgica infection

Onur Ozgenç  1 , Meltem Avcı  2 , Alpay Arı  2 , Ismail Yunus Celebi  3 , Seher Ayten Coşkuner  2
Affiliations
Case Reports

Long-term treatment of persistent disseminated Nocardia cyriacigeorgica infection

Onur Ozgenç et al. Braz J Infect Dis. 2014 Sep-Oct.

Abstract

In this paper a disseminated persistent Nocardia cyriacigeorgica infection in an immunocompetent patient is described. The patient's long-term treatment, as well as its implications for managing similar cases in the future, is emphasized. Presenting with high fever, multiple nodules, and ulcerative cutaneous lesions of body sites, the patient was treated with various antimicrobials. Under combined therapy, empyema and arthritis, leading to disseminated nocardiosis, were seen. The overall treatment course was 28 months. It can be concluded that the choice of the antibiotics and optimal duration of treatment are uncertain; therefore the treatment of nocardiosis requires expertise.

Keywords: Chronic infection; Nocardia cyriacigeorgica; Treatment.

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Figures

Fig. 1
Fig. 1
The ulcerative lesion on the patient's chin.
Fig. 2
Fig. 2
The scars of the healed lesions on the dorso-thorocal region of the body.
Fig. 3
Fig. 3
The cutaneous nodule on the lower extremity.
See this image and copyright information in PMC

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