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An HIV-infected patient with Nocardia asteroides bilateral pneumonia
David W Unkle1, Anthony J Ricketti, Dennis J Cleri
1University of Medicine & Dentistry of New Jersey, School of Nursing, USA.
Abstract:
Pneumonia remains a concern for persons with long-standing HIV infection. We present a case of a 43-year-old HIV-infected woman with bilateral pneumonia whose presentation suggested the cause was a bacterial pathogen. A chest of radiograph and CT scan of the chest revealed infiltrates and adenopathies, but this did not help in the differential diagnosis. A Gram stain of a sputum specimen revealed gram-positive filamentous rods, and infection with Nocardia asteroides was diagnosed. The patient was started on a regimen of ceftriaxone and trimethoprim/sulfamethoxazole and experienced significant improvement within a few days.
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