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Nocardia pseudobrasiliensis Co-infection in SARS-CoV-2 Patients
During the SARS-CoV-2 pandemic, few cases of Nocardia spp. co-infection have been reported during or after a COVID-19 infection. Nocardia spp. are gram-positive aerobic actinomycetes that stain partially acid-fast, can infect immunocompromised patients, and may cause disseminated disease. We repor...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10045714/ https://www.ncbi.nlm.nih.gov/pubmed/36958028 http://dx.doi.org/10.3201/eid2904.221439 |
Sumario: | During the SARS-CoV-2 pandemic, few cases of Nocardia spp. co-infection have been reported during or after a COVID-19 infection. Nocardia spp. are gram-positive aerobic actinomycetes that stain partially acid-fast, can infect immunocompromised patients, and may cause disseminated disease. We report the case of a 52-year-old immunocompromised man who had Nocardia pseudobrasiliensis pneumonia develop after a SARS-CoV-2 infection. We also summarize the literature for nocardiosis and SARS-CoV-2 co-infections. Nocardia spp. infection should remain a part of the differential diagnosis for pneumonia in immunocompromised hosts, regardless of other co-infections. Sulfonamide/carbapenem combinations are used as empiric therapy for nocardiosis; species identification and susceptibility testing are required to select the optimal treatment for each patient. |
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