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[Nocardia isolated from the respiratory tract].
Summary
Nocardia asteroides was identified in clinical samples using various cultivation and testing methods. Five patients were diagnosed with pulmonary nocardiosis, showing improvement with sulfa drugs.
Area of Science:
- Medical Microbiology
- Clinical Diagnostics
Context:
- Nocardia species are opportunistic pathogens that can cause serious infections.
- Accurate identification and characterization of Nocardia strains are crucial for effective treatment.
Purpose:
- To classify twelve Nocardia strains isolated from clinical specimens.
- To investigate the sensitivity of these strains to tuberculostatic drugs and rifamycin.
- To determine the pathogenicity of the isolated strains in guinea pigs.
Summary:
- Twelve Nocardia strains from sputum, bronchial washings, and pleural fluids were classified as Nocardia asteroides based on acid-fastness, enzymatic activity, and growth characteristics.
- Isolation utilized paraffin-bait and routine T.B. digestion techniques. Drug sensitivity testing included tuberculostatic drugs and rifampicin.
- Pathogenicity was assessed in guinea pigs. Five patients with pulmonary nocardiosis were diagnosed, showing clinical improvement with sulfa administration.
Impact:
- This study confirms Nocardia asteroides as a causative agent of pulmonary infections.
- Highlights the importance of specific diagnostic methods for Nocardia.
- Demonstrates the therapeutic efficacy of sulfa drugs in treating nocardiosis.