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Journal of Clinical Microbiology, July 2007, p. 2330-2333, Vol. 45, No. 7
0095-1137/07/$08.00+0     doi:10.1128/JCM.00149-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Rare Case of Nocardia asteroides Pericarditis in a Human Immunodeficiency Virus-Infected Patient{triangledown}

Sadao Jinno,1* Tanawat Jirakulaporn,1 Matthew J. Bankowski,2 Wesley Kim,2 and Russell Wong3

University of Hawaii Internal Medicine Program, Honolulu, Hawaii,1 Diagnostic Laboratory Services, Inc., and The Queen's and Kuakini Health Systems, Honolulu, Hawaii,2 John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii3

Received 20 January 2007/ Returned for modification 1 March 2007/ Accepted 7 May 2007

Nocardia asteroides was isolated after prolonged culture from the pericardial fluid of a human immunodeficiency virus-infected patient. The lengthy duration required for culture growth and identification of this N. asteroides isolate affected both initial therapeutic decisions and patient management. A proposed algorithm for the microbiological workup of pericardial fluid for possible Nocardia spp. is described in an effort to improve the timeliness of results.

* Corresponding author. Mailing address: University of Hawaii Internal Medicine Program, 1560 Kanunu Street #1309, Honolulu, HI 96814. Phone: (808) 389-7952. Fax: (808) 946-9640. E-mail: sadao{at}gmail.com

{triangledown} Published ahead of print on 16 May 2007.

Journal of Clinical Microbiology, July 2007, p. 2330-2333, Vol. 45, No. 7
0095-1137/07/$08.00+0     doi:10.1128/JCM.00149-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.





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