Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report
Rationale: Nocardia is a soil saprophyte, which can cause disseminated infection in immunocompromised patients. Early diagnosis and treatment can greatly improve prognosis. Patient concern: A 26-year-old male presented with repeated episodes of fever, cough and breathlessness for 3 months. Diagnosis...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-11-01
|
| Series: | Asian Pacific Journal of Tropical Medicine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/apjtm.apjtm_39_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850246019976003584 |
|---|---|
| author | Vrushali Harsh Thakar Prajakta Jadhav Aishwarya Babu Mahadevan Kumar Abhijeet Kantilal Mane |
| author_facet | Vrushali Harsh Thakar Prajakta Jadhav Aishwarya Babu Mahadevan Kumar Abhijeet Kantilal Mane |
| author_sort | Vrushali Harsh Thakar |
| collection | DOAJ |
| description | Rationale:
Nocardia is a soil saprophyte, which can cause disseminated infection in immunocompromised patients. Early diagnosis and treatment can greatly improve prognosis.
Patient concern:
A 26-year-old male presented with repeated episodes of fever, cough and breathlessness for 3 months.
Diagnosis:
Mixed infection of Nocardia (N.) farcinica and N. cyriacigeorgica with diabetes and Cushing’s syndrome.
Interventions:
N. cyriacigeorgica was isolated from empyema fluid and N. farcinica from blood. Based on antimicrobial susceptibility, he was treated with imipenem, cotrimoxazole and amikacin.
Outcome:
Patient expired due to infection and delayed diagnosis.
Lesson:
Several cases of infection due to N. farcinica or N. cyriacigeorgica have been reported. But mixed infection caused by these two species is rare. Pulmonary and disseminated nocardiosis is associated with high mortality, especially in immunocompromised hosts. So early diagnosis and prompt treatment is needed. |
| format | Article |
| id | doaj-art-d33146b0fdb84e68802bb28e2179bd5a |
| institution | OA Journals |
| issn | 2352-4146 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Pacific Journal of Tropical Medicine |
| spelling | doaj-art-d33146b0fdb84e68802bb28e2179bd5a2025-08-20T01:59:17ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462024-11-01171151651810.4103/apjtm.apjtm_39_24Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case reportVrushali Harsh ThakarPrajakta JadhavAishwarya BabuMahadevan KumarAbhijeet Kantilal ManeRationale: Nocardia is a soil saprophyte, which can cause disseminated infection in immunocompromised patients. Early diagnosis and treatment can greatly improve prognosis. Patient concern: A 26-year-old male presented with repeated episodes of fever, cough and breathlessness for 3 months. Diagnosis: Mixed infection of Nocardia (N.) farcinica and N. cyriacigeorgica with diabetes and Cushing’s syndrome. Interventions: N. cyriacigeorgica was isolated from empyema fluid and N. farcinica from blood. Based on antimicrobial susceptibility, he was treated with imipenem, cotrimoxazole and amikacin. Outcome: Patient expired due to infection and delayed diagnosis. Lesson: Several cases of infection due to N. farcinica or N. cyriacigeorgica have been reported. But mixed infection caused by these two species is rare. Pulmonary and disseminated nocardiosis is associated with high mortality, especially in immunocompromised hosts. So early diagnosis and prompt treatment is needed.https://journals.lww.com/10.4103/apjtm.apjtm_39_24nocardia cyriacigeorgicanocardia farcinicamatrixassisted laser desorption ionization time-of-flight mass spectrometry |
| spellingShingle | Vrushali Harsh Thakar Prajakta Jadhav Aishwarya Babu Mahadevan Kumar Abhijeet Kantilal Mane Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report Asian Pacific Journal of Tropical Medicine nocardia cyriacigeorgica nocardia farcinica matrixassisted laser desorption ionization time-of-flight mass spectrometry |
| title | Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report |
| title_full | Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report |
| title_fullStr | Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report |
| title_full_unstemmed | Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report |
| title_short | Mixed infection of Nocardia farcinica and Nocardia cyriacigeorgica in an immunocompromised patient: A case report |
| title_sort | mixed infection of nocardia farcinica and nocardia cyriacigeorgica in an immunocompromised patient a case report |
| topic | nocardia cyriacigeorgica nocardia farcinica matrixassisted laser desorption ionization time-of-flight mass spectrometry |
| url | https://journals.lww.com/10.4103/apjtm.apjtm_39_24 |
| work_keys_str_mv | AT vrushaliharshthakar mixedinfectionofnocardiafarcinicaandnocardiacyriacigeorgicainanimmunocompromisedpatientacasereport AT prajaktajadhav mixedinfectionofnocardiafarcinicaandnocardiacyriacigeorgicainanimmunocompromisedpatientacasereport AT aishwaryababu mixedinfectionofnocardiafarcinicaandnocardiacyriacigeorgicainanimmunocompromisedpatientacasereport AT mahadevankumar mixedinfectionofnocardiafarcinicaandnocardiacyriacigeorgicainanimmunocompromisedpatientacasereport AT abhijeetkantilalmane mixedinfectionofnocardiafarcinicaandnocardiacyriacigeorgicainanimmunocompromisedpatientacasereport |