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Nocardia bursitis.

G Chowdhary¹, G P Wormser, B R Mascarenhas

¹Department of Medicine, Westchester County Medical Center, New York Medical College, Valhalla.

The Journal of Rheumatology

|January 1, 1988

Summary

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Nocardia asteroides infection of the olecranon bursa is rare in healthy individuals. Prompt diagnosis via bursal fluid culture and sulfonamide treatment led to recovery.

Area of Science:

Microbiology
Infectious Diseases
Orthopedic Surgery

Background:

Nocardia asteroides is an opportunistic pathogen.
Olecranon bursa infections typically arise from direct inoculation or contiguous spread.
Systemic or localized immunosuppression is often a predisposing factor.

Observation:

A healthy young man presented with olecranon bursitis.
Initial clinical presentation and bursal fluid analysis were non-specific.
Nocardia asteroides was identified as the causative agent through bursal fluid culture.

Findings:

The patient had no underlying health conditions or immunosuppression.
Diagnosis relied solely on microbiological culture of bursal fluid.
Clinical signs and initial fluid analysis were misleading for Nocardia infection.

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Implications:

This case highlights the potential for Nocardia asteroides to cause infection in immunocompetent hosts.
Early microbiological diagnosis is crucial for effective treatment of atypical bursitis.
Sulfonamide therapy demonstrated efficacy in treating this Nocardia infection.