Nocardiosis: clinical observations apropos of 9 cases
Fontaneda López, D.; Corrales Rodríguez de Tembleque, M.; Fernández Ortega, F.; Sarasa Corral, J.L.; Gómez Garcés, J.; Fernández Guerrero, M.
Revista Clinica Espanola 185(9): 454-458
1989
ISSN/ISBN: 0014-2565 PMID: 2623279 Document Number: 343928
We have retrospectively analyzed 9 cases of nocardiosis that were studied in our hospital over the past 10 years. 66% of the patients had an associated disease and half of them were on steroid treatment. The clinical manifestations of the infection were pulmonary and cutaneous and in 44% of cases, it disseminated to the central nervous system. The diagnosis was made in all cases isolating the microorganism from pulmonary secretions, puss, spinal fluid and blood. Nocardia asteroides was isolated in 8 cases, and nocardia caviae in one case. There was a 55% mortality rate. The different clinical presentation and evolution are reviewed, as well as prognostic factors and antimicrobial treatment of nocardiosis.