Document Detail


Nocardial infection in Crete, Greece: review of fifteen cases from 2003 to 2007.
MedLine Citation:
PMID:  19101858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During a 5-y period (2003 - 2007), nocardial infections were diagnosed in 15 patients admitted to the University Hospital of Heraklion, Crete, Greece. Nine patients (60%) had 1 or more underlying conditions predisposing to nocardiosis. The skin was involved in 10 cases, followed by the lung in 4. One patient had disseminated disease. Five different species were identified: N. brasiliensis (n =7), N. otitidiscaviarum (n=4), N. abscessus (n=2), N. transvalensis (n=1), and N. farcinica (n=1). The most common species was N. brasiliensis. All isolates were sensitive to linezolid, moxifloxacin, and tigecycline, and 80% of them to trimethoprim-sulfamethoxazole. Antibiotics were given to all 15 patients. A clinical response was observed in 14 of them, while 1 died of nocardiosis. Nocardiosis is a rare but sometimes life-threatening infection, complicating immunosuppression. Early diagnosis and timely administration of appropriate treatment result in a favourable outcome.
Authors:
Sofia Maraki; Efstathia Scoulica; Eleni Nioti; Yannis Tselentis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  41     ISSN:  0036-5548     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-13     Completed Date:  2009-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  122-7     Citation Subset:  IM    
Affiliation:
Department of Clinical Bacteriology, Parasitology, Zoonoses and Geographical Medicine, University Hospital of Heraklion, Heraklion, Crete, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents / therapeutic use
Female
Greece / epidemiology
Humans
Male
Microbial Sensitivity Tests
Middle Aged
Nocardia / drug effects,  genetics,  isolation & purification*
Nocardia Infections / diagnosis*,  drug therapy,  epidemiology*,  microbiology
Risk Factors
Trimethoprim-Sulfamethoxazole Combination / therapeutic use
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 8064-90-2/Trimethoprim-Sulfamethoxazole Combination

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