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Tramèr L, Mertz KD, Huegli R, Hinic V, Jost L, Burkhalter F, Wirz S, Tarr PE. Intra-Abdominal Nocardiosis-Case Report and Review of the Literature. J Clin Med 2020; 9:jcm9072141. [PMID: 32645935 PMCID: PMC7408857 DOI: 10.3390/jcm9072141] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 07/01/2020] [Accepted: 07/02/2020] [Indexed: 01/04/2023] Open
Abstract
Nocardiosis is primarily an opportunistic infection affecting immunosuppressed individuals, in whom it most commonly presents as pulmonary infection and sometimes cerebral abscesses. Isolated abdominal or retroperitoneal nocardiosis is rare. Here, we report the second case, to our knowledge, of isolated abdominal nocardiosis due to Nocardia paucivorans and provide a comprehensive review of intra-abdominal nocardiosis. The acquisition of abdominal nocardiosis is believed to occur via hematogenous spreading after pulmonary or percutaneous inoculation or possibly via direct abdominal inoculation. Cases of Nocardia peritonitis have been reported in patients on peritoneal dialysis. Accurate diagnosis of abdominal nocardiosis requires histological and/or microbiological examination of appropriate, radiologically or surgically obtained biopsy specimens. Malignancy may initially be suspected when the patient presents with an abdominal mass. Successful therapy usually includes either percutaneous or surgical abscess drainage plus prolonged combination antimicrobial therapy.
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Affiliation(s)
- Lucas Tramèr
- University Department of Medicine, Kantonsspital Baselland, University of Basel, 4101 Bruderholz, Switzerland; (L.T.); (L.J.); (F.B.); (S.W.)
| | | | - Rolf Huegli
- Department of Radiology and Nuclear Medicine, Kantonsspital Baselland, 4101 Bruderholz, Switzerland;
| | - Vladimira Hinic
- Clinical Bacteriology and Mycology, Laboratory Medicine, University Hospital Basel, 4031 Basel, Switzerland;
| | - Lorenz Jost
- University Department of Medicine, Kantonsspital Baselland, University of Basel, 4101 Bruderholz, Switzerland; (L.T.); (L.J.); (F.B.); (S.W.)
- Oncology Service, Kantonsspital Baselland, 4101 Bruderholz, Switzerland
| | - Felix Burkhalter
- University Department of Medicine, Kantonsspital Baselland, University of Basel, 4101 Bruderholz, Switzerland; (L.T.); (L.J.); (F.B.); (S.W.)
- Nephrology Service, Kantonsspital Baselland, 4101 Bruderholz, Switzerland
| | - Sebastian Wirz
- University Department of Medicine, Kantonsspital Baselland, University of Basel, 4101 Bruderholz, Switzerland; (L.T.); (L.J.); (F.B.); (S.W.)
- Infectious Diseases Service, Kantonsspital Baselland, 4101 Bruderholz, Switzerland
| | - Philip E. Tarr
- University Department of Medicine, Kantonsspital Baselland, University of Basel, 4101 Bruderholz, Switzerland; (L.T.); (L.J.); (F.B.); (S.W.)
- Infectious Diseases Service, Kantonsspital Baselland, 4101 Bruderholz, Switzerland
- Correspondence: ; Tel.: +41-61-436-2212; Fax: +41-61-436-3670
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Nocardia asteroides peritoneal dialysis-related peritonitis: First case in pediatrics, treated with protracted linezolid. J Infect Public Health 2016; 9:192-7. [DOI: 10.1016/j.jiph.2015.11.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2015] [Revised: 08/06/2015] [Accepted: 11/01/2015] [Indexed: 11/18/2022] Open
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Mahoney MVG. Clarification of Trimethoprim/Sulfamethoxazole Dose in CAPD. Perit Dial Int 2015; 35:116-8. [DOI: 10.3747/pdi.2013.00173] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- M. V. Golik Mahoney
- Clinical Pharmacy Coordinator, Infectious Diseases Beth Israel Deaconess Medical Center Boston, MA 02215
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Lee FJ, Aung AK, Pereira LA, Arthur IH, Murray RJ. Fatal Nocardia cyriacigeorgica spontaneous bacterial peritonitis. New Microbes New Infect 2013; 1:32-3. [PMID: 25356325 PMCID: PMC4184699 DOI: 10.1002/2052-2975.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Revised: 09/17/2013] [Accepted: 09/30/2013] [Indexed: 11/07/2022] Open
Abstract
We report the first case of fatal spontaneous bacterial peritonitis and fulminant hepatitis caused by Nocardia cyriacigeorgica in a patient with hepatitis C-related liver cirrhosis.
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Affiliation(s)
- F J Lee
- Department of Infectious Diseases, Sir Charles Gairdner Hospital Perth, Australia
| | - A K Aung
- Department of Infectious Diseases, Sir Charles Gairdner Hospital Perth, Australia
| | - L A Pereira
- Department of Infectious Diseases, Sir Charles Gairdner Hospital Perth, Australia ; Department of Microbiology, Pathwest Laboratory Medicine QEII Medical Centre Perth, Australia
| | - I H Arthur
- Department of Microbiology, Pathwest Laboratory Medicine QEII Medical Centre Perth, Australia
| | - R J Murray
- Department of Infectious Diseases, Sir Charles Gairdner Hospital Perth, Australia ; Department of Microbiology, Pathwest Laboratory Medicine QEII Medical Centre Perth, Australia ; University of Western Australia Perth, Australia
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