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The first known case of Nocardia wallacei infection in Cyprus
Aristos Aristodimou1, Zacharias Raptopoulos1, Ioannis Hatzimanolis2
1Internal Medicine Department, Limassol General Hospital, State Health Organization Services, Limassol, Cyprus.
Aim:
To present the first known case of Nocardia (N.) wallacei infection in Cyprus.
Method:
This case report describes the first known N. wallacei infection in Cyprus, diagnosed in a 77-year-old man with underlying pulmonary disease, along with the diagnostic workup and treatment.
Discussion:
N. wallacei is a rare subtype of Nocardia spp. with about 14 cases reported in literature. It equally affects immunocompromised as well as immunocompetent patients, causing both pulmonary and extrapulmonary symptoms (CNS, skin). First-line treatment includes trimethoprim/sulfamethoxazole (TMP/SMX), but there are trends of global resistance.
Conclusion:
N. wallacei has rarely been reported as a cause of infection and this is the first known case reported in Cyprus.
