Document Detail

Thigh abscess due to Nocardia farcinica.
MedLine Citation:
PMID:  16775924     Owner:  NLM     Status:  MEDLINE    
Nocardia farcinica is an uncommon cause of nocardiosis and usually infects immunocompromised individuals. We describe a patient with Hodgkin's disease and a thigh abscess due to N. farcinica. To the best of our knowledge, this has never been reported before in the English literature. It is important to recognize this complication, because a delay in diagnosis may result in widespread dissemination. Unless initially suspected, culture and identification will be delayed, as selective media for isolating Nocardia are not routinely used in most clinical laboratories. It is also important to differentiate N. farcinica from other Nocardia species due to its resistance to many antibiotics that are routinely used to treat abscesses, including cephalosporins. A case report along with literature review is presented in an effort to stress the importance of including this pathogen in the differential diagnosis of immunocompromised patients with abscesses.
Ashok Kumar Malani; Chakshu Gupta; Robert T Weigand; Vicram Gupta; Sandeep Rangineni
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  98     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-07-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  977-9     Citation Subset:  IM    
Department of Hematology and Medical Oncology, Heartland Regional Medical Center, St. Joseph, Missouri, USA.
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MeSH Terms
Abscess / diagnosis,  microbiology*
Diagnosis, Differential
Hodgkin Disease / complications,  drug therapy*
Immunosuppressive Agents / immunology,  therapeutic use
Nocardia / isolation & purification*
Nocardia Infections / diagnosis*,  microbiology
Thigh / microbiology*,  physiopathology
Reg. No./Substance:
0/Immunosuppressive Agents

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