Adrenal insufficiency, recurrent bacteremia, and disseminated abscesses caused by Nocardia asteroides in a patient with acquired immunodeficiency syndrome.

Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

Adrenal insufficiency, recurrent bacteremia, and disseminated abscesses caused by Nocardia asteroides in a patient with acquired immunodeficiency syndrome.

Diagn Microbiol Infect Dis. 1996 Jan;24(1):47-51. Unique Identifier : AIDSLINE MED/97142742
Arabi Y; Fairfax MR; Szuba MJ; Crane L; Schuman P; Department of Medicine, Wayne State University School of Medicine,; Detroit, Michigan, USA.

Abstract: Nocardia asteroides is an opportunistic pathogen of increasing incidence in human immunodeficiency virus (HIV)-infected persons. The lungs are the most common site of infection, followed by the brain; involvement of other extrapulmonary sites is less common. We describe a patient with acquired immunodeficiency syndrome who presented with a number of unique manifestations of nocardial infection: the first reported case of bilateral adrenal abscesses with adrenal insufficiency, the first case of a renal abscess due to N. asteroides alone, and the first case of recurrent, symptomatic bacteremia. A review of the literature on nocardial infections in HIV-positive individuals is presented.

Keywords: *Abscess/DRUG THERAPY *Abscess/MICROBIOLOGY *Acquired Immunodeficiency Syndrome/COMPLICATIONS *Adrenal Gland Hypofunction/COMPLICATIONS *AIDS-Related Opportunistic Infections/MICROBIOLOGY *Bacteremia/COMPLICATIONS *Nocardia asteroides/DRUG EFFECTS *Nocardia asteroides/ISOLATION & PURIF *Nocardia Infections/COMPLICATIONS
970430
M9741550

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