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Submitted: 29 May 2018
Revised: 23 Dec 2018
Accepted: 03 May 2019
First published online: 28 May 2019
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J Cardiovasc Thorac Res. 2019;11(2):161-163.
doi: 10.15171/jcvtr.2019.27
PMID: 31384412
PMCID: PMC6669421
  Abstract View: 112
  PDF Download: 83

Case Report

Treatment of cardiac nocardiosis in a post-renal transplant patient of systemic nocardiosis

Muddassar Mahboob 1, Sana Hassan 1, Ashraf Ali Attia 1, Ebadur Rahman 1, Muhammad Shoaib Khan 2 * , Syed Rizwan Bokhari 3

1 Prince Sultan Military Medical City, KSA
2 Jinnah Hospital, Lahore, Pakistan
3 Tulane University, New Orleans, USA

Abstract

In general, nocardia infects immunosuppressed patients, however, sometimes it can also infect immunocompetent individuals. Nocardia infection can disseminate to any organ system of the body but the pulmonary system is the most commonly involved system. In some rare cases, the heart can also be involved and the resulting cardiac mycetoma can be treated successfully with antimicrobials without the need of surgery, unlike fungal cardiac mycetomas wherein surgery may be required in addition to antimicrobial therapy. We present an interesting case of post-renal transplant cardiac nocardiosis, which was treated successfully with a course of antibiotics.
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