Nocardia asteroides pericarditis: Report of a case and review of the literature

G. A. Poland, C. R. Jorgensen, G. A. Sarosi

Research output: Contribution to journalArticle

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Abstract

In this report, we describe a patient who had purulent Nocardia asteroides pericarditis. In addition, we identified 13 previously suspected and reported cases of Nocardia pericarditis, but only 5 of these studies reported isolation of Nocardia from cultures of pericadial fluid or pericardium. Analysis of the clinical course of these five patients and our patient revealed the importance of long-term sulfonamide antibiotics therapy in combination with surgical pericardial drainage procedures. In our review, only patients who received antibiotics and underwent pericardiectomy survived. Our case substantiates the excellent penetration of sulfisoxazole into the pericardial fluid, even with oral administration of the drug, and provides evidence in support of aggressive management of Nocardia pericarditis.

Original languageEnglish (US)
Pages (from-to)819-824
Number of pages6
JournalMayo Clinic Proceedings
Volume65
Issue number6
StatePublished - 1990

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Nocardia asteroides
Pericarditis
Nocardia
Sulfisoxazole
Pericardiectomy
Anti-Bacterial Agents
Sulfonamides
Oral Administration
Drainage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Poland, G. A., Jorgensen, C. R., & Sarosi, G. A. (1990). Nocardia asteroides pericarditis: Report of a case and review of the literature. Mayo Clinic Proceedings, 65(6), 819-824.

Nocardia asteroides pericarditis : Report of a case and review of the literature. / Poland, G. A.; Jorgensen, C. R.; Sarosi, G. A.

In: Mayo Clinic Proceedings, Vol. 65, No. 6, 1990, p. 819-824.

Research output: Contribution to journalArticle

Poland, GA, Jorgensen, CR & Sarosi, GA 1990, 'Nocardia asteroides pericarditis: Report of a case and review of the literature', Mayo Clinic Proceedings, vol. 65, no. 6, pp. 819-824.
Poland, G. A. ; Jorgensen, C. R. ; Sarosi, G. A. / Nocardia asteroides pericarditis : Report of a case and review of the literature. In: Mayo Clinic Proceedings. 1990 ; Vol. 65, No. 6. pp. 819-824.
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