Journal article
Nocardia beijingensis pericarditis presenting with cardiac tamponade: A case report
International journal of STD & AIDS, Vol.29(5), pp.515-519
04/2018
DOI: 10.1177/0956462417736986
PMID: 29059035
Abstract
We report the first case of Nocardia beijingensis pericarditis in a 32-year-old HIV-infected patient. He presented with cardiac tamponade after failing to respond to treatment for smear-negative pulmonary and pericardial tuberculosis (TB). The pericardial fluid was examined several times before it eventually revealed filamentous branching organisms in Gram and modified acid-fast bacilli stain. The culture grew Nocardia spp. and was identified by 16s rRNA sequencing as N. beijingensis. Eight previously reported cases of Nocardia pericarditis in HIV-infected patients were caused by Nocardia asteroides. All patients had low CD4 cell count (range: 17-239 cells/mm
) and 50% of patients were treated for tuberculous pericarditis prior to making the correct diagnosis of Nocardia pericarditis. This report revisits the issue of nocardiosis as a great TB mimicker. It should always be considered in the differential diagnosis among HIV-infected patients suspected of having pericardial TB that is failing treatment.
Details
- Title: Subtitle
- Nocardia beijingensis pericarditis presenting with cardiac tamponade: A case report
- Creators
- Nattinee Laksananun - Chiang Mai UniversityParichat Salee - Chiang Mai UniversityQuanhathai Kaewpoowat - Chiang Mai University
- Resource Type
- Journal article
- Publication Details
- International journal of STD & AIDS, Vol.29(5), pp.515-519
- DOI
- 10.1177/0956462417736986
- PMID
- 29059035
- ISSN
- 0956-4624
- eISSN
- 1758-1052
- Language
- English
- Date published
- 04/2018
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984359899502771
Metrics
18 Record Views