BLOOD, BONE AND BRAIN NOCARDIOSIS INFECTION IN AN HIV-INFECTED MAN
Abstract: Disseminated
nocardiosis is a rare and complicated opportunistic bacterial infection with
propensity of delay in establishing the correct diagnosis and high frequency
for misdiagnosis and due to the non-specific clinical presentation and the
inherent difficulty in cultivating the organism. The infection is caused by
gram-positive aerobic actinomycetes in the genus Nocardia. A definitive
diagnosis requires the isolation and identification by Gram stain and modified
acid-fast stain from a clinical specimen. Treatment heavily relies on species
and susceptibility testing. There is a real paucity of prospective studies in
nocardiosis infection, resulted in severely limited understanding of its
diagnosis and treatment among the medical community. We report a clinical case
of a 42-year old HIV-infected Burmese man with culture proven Nocardia
infection.
Keywords: Nocardiosis, HIV,
opportunistic bacterial, infection
Author: Muhammad Yazli Yuhana
Journal Code: jpkedokterangg160337
