ABSTRACT
Nocardiosis is a rare disease caused by infection with Nocardia species, aerobic actinomycetes with a worldwide distribution. A rare life-threatening disseminated Nocardia brasiliensis infection is described in an elderly, immunocompromised patient. Microorganism was recovered from bronchial secretions and dermal lesions, and was identified using molecular assays. Prompt, timely diagnosis and appropriate treatment ensured a favorable outcome.
Subject(s)
Anti-Bacterial Agents/pharmacology , Bacteremia/diagnosis , Gram-Negative Bacteria/drug effects , Gram-Negative Bacterial Infections/diagnosis , Leg Ulcer/diagnosis , Aged , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Bacteremia/blood , Bacteremia/drug therapy , Bacteremia/microbiology , Bacteremia/pathology , Diabetes Mellitus , Diagnosis, Differential , Fever , Gram-Negative Bacteria/isolation & purification , Gram-Negative Bacterial Infections/blood , Gram-Negative Bacterial Infections/drug therapy , Gram-Negative Bacterial Infections/microbiology , Gram-Negative Bacterial Infections/pathology , Humans , Leg Ulcer/drug therapy , Leg Ulcer/microbiology , Leg Ulcer/pathology , Male , Microbial Sensitivity Tests , PainABSTRACT
A case of spontaneous peritonitis caused by Leminorella grimontii in a 63-year-old man with cirrhosis is reported. To our knowledge, L. grimontii has never been reported as a cause of spontaneous bacterial peritonitis. The patient responded to antimicrobial therapy. Clinical and therapeutic implications are discussed.
