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Related Experiment Videos

Constrictive pericarditis from Nocardia asteroides infection.

R Kessler1, F Follis, D Daube

  • 1Department of Surgery, University of New Mexico Medical Center, Albuquerque 87131-5341.

The Annals of Thoracic Surgery
|October 1, 1991
PubMed
Summary
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Nocardiosis can affect the pericardium, leading to constrictive pericarditis. Surgical removal of the pericardium combined with antibiotics offers a successful treatment for this rare condition.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Thoracic Surgery

Background:

  • Human nocardiosis typically affects the respiratory tract or skin, but can disseminate to other organs.
  • Nocardia infection of the pericardium is rare, often occurring in immunocompromised individuals but also in those without apparent predisposing factors.
  • Constrictive pericarditis resulting from Nocardia infection is uncommon and historically mandates surgical intervention.

Observation:

  • This case report details a patient with chronic constrictive pericarditis caused by Nocardia.
  • The patient presented with symptoms indicative of constrictive pericarditis.

Findings:

  • The patient underwent successful pericardiectomy (surgical removal of the pericardium).
  • Post-operative antibiotic therapy was administered.

Related Experiment Videos

  • The combined surgical and medical approach led to a favorable outcome for the patient.

    • Implications:

    • This case highlights that Nocardia can cause constrictive pericarditis.
    • Surgical management (pericardiectomy) alongside appropriate antibiotic treatment is an effective strategy for managing Nocardia-induced constrictive pericarditis.
    • Further research may elucidate optimal antibiotic regimens and long-term outcomes for this rare presentation.