Nocardia asteroides Pericarditis: Report of a Case and Review of the Literature

GREGORY A. POLAND, CHARLES R. JORGENSEN, GEORGE A. SAROSI

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

In this report, we describe a patient who had purulenti 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 pericardial fluid or pericardium. Analysis of the clinical course of these five patients and our patient revealed the importance of long-term sulfonamide antibiotic 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
DOIs
StatePublished - Jan 1 1990

Fingerprint Dive into the research topics of 'Nocardia asteroides Pericarditis: Report of a Case and Review of the Literature'. Together they form a unique fingerprint.

Cite this