14th ICID - Poster Abstracts - International Society for Infectious ...

When citing these abstracts please use the following reference:
Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.
Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1
is available electronically on http://www.sciencedirect.com
Final Abstract Number: 77.020
Session: Gram-positives & Miscellaneous Pathogens
Date: Friday, March 12, 2010
Time: 12:30-13:30
Room: Poster & Exhibition Area/Ground Level
Type: Poster Presentation
Disseminated nocardiosis
A. R. Bastidas 1 , M. Pérez 2 , A. Piotrostanalzki 3 , P. Reyes 4 , M. Gonzáles 5 , R. Rada 6
1 Hospital Militar Central, Clinica Universitaria de la Universidad de la Sabana, Bogotá, Colombia,
2 Hospital Militar Central, Universidad Militar Nueva Granada, Bogotá, Colombia, 3 Hospital Militar
Central, Universidad Militar Nueva Granada, Bogotá., Colombia, 4 Hospital Militar Central, Clínica
del Country, Bogot{a, Colombia, 5 Hospital Militar Central, Bogotá., Colombia, 6 Hospital Militar
Central, Bogotá, Colombia
Background: The Nocardia is described as an infectious agent of systemic involvement
especially in immunocompromised patients. From what we wanted to describe the case of a
patient with type-2 diabetes mellitus developed a severe systemic infection with fatal outcome.
Methods: We describe the case of a farmer of 62 years from the lower Cauca Colombia, who
presented a clinical that begins with 2 months whitish lesions in the mouth, associated with
persistent fever and gradual onset of cough, hemoptysis, dyspnea, cyanosis and generalized
pustule skin lesions with budding tree display and cavitary lesions in lung and liver abscess only,
with no echocardiographic vegetations and negative blood cultures. In skin culture displayed
filamentous gram-positive bacteria compatible with Nocardia.
Results: The patient has an unfavorable clinical course with eventual development of multiple
organ failure and death.
Conclusion: Nocardiosis should be taken into account as an etiologic agent in
immunocompromised patients from rural areas with systemic manifestations and progressive
clinical deterioration.