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Updated: Feb 7, 2026

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Catch Me If You Can.

Muhammad Omar1, Ashwyna Sunassee2, Matthew Hayes3

  • 1Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota.

South Dakota Medicine : the Journal of the South Dakota State Medical Association
|July 14, 2018
PubMed
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Nocardia asteroides rarely causes pelvic osteomyelitis, especially in individuals with undiagnosed acquired immune deficiency syndrome (AIDS). This case highlights a rare presentation of nocardiosis in an immunocompromised patient.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Immunology

Background:

  • Nocardia species are aerobic, gram-positive bacteria.
  • Nocardiosis commonly affects immunocompromised individuals.
  • Typical Nocardia infections include pneumonia and soft tissue infections.

Observation:

  • A patient presented with pelvic osteomyelitis.
  • The patient had unrecognized acquired immune deficiency syndrome (AIDS).
  • No concurrent pulmonary or skin Nocardia infections were detected.

Findings:

  • Pelvic osteomyelitis was diagnosed and attributed to Nocardia asteroides.
  • This represents an uncommon manifestation of nocardiosis.
  • The patient's underlying immunodeficiency was a key factor.

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Implications:

  • Highlights the diverse clinical presentations of Nocardia infections.
  • Emphasizes the importance of considering nocardiosis in immunocompromised patients with unusual infections.
  • Suggests pelvic osteomyelitis as a potential, albeit rare, manifestation of nocardiosis in AIDS patients.