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Nocardia asteroides Pericarditis

      The article entitled “Nocardia asteroides Pericarditis: Report of a Case and Review of the Literature,” by Poland and associates in the June 1990 issue of the Proceedings (pages 819 to 824), made interesting reading. Reports of at least two other cases of N. asteroides pericarditis have been described in patients with the acquired immunodeficiency syndrome (AIDS),
      • Holtz HA
      • La very DP
      • Kapila R
      Actinomycetales infection in the acquired immunodeficiency syndrome.
      and these cases were not mentioned in the article. In both of these cases, the diagnosis was established by a pericardial fluid culture positive for N. asteroides. Both patients were treated with trimethoprim-sulfamethoxazole. These cases are especially noteworthy because N. asteroides infection in general is uncommon in patients with AIDS.

      REFERENCE

        • Holtz HA
        • La very DP
        • Kapila R
        Actinomycetales infection in the acquired immunodeficiency syndrome.
        Ann Intern Med. 1985; 102: 203-205