Publication: Purulent pericarditis and cardiac tamponade caused by nocardia farcinica in a nephrotic syndrome patient
Issued Date
2013-10-08
Resource Type
ISSN
13497235
09182918
09182918
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2-s2.0-84884939831
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Mahidol University
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SCOPUS
Bibliographic Citation
Internal Medicine. Vol.52, No.19 (2013), 2231-2235
Suggested Citation
Rujipas Sirijatuphat, Sorachat Niltwat, Orathai Tiangtam, Wiwun Tungsubutra Purulent pericarditis and cardiac tamponade caused by nocardia farcinica in a nephrotic syndrome patient. Internal Medicine. Vol.52, No.19 (2013), 2231-2235. doi:10.2169/internalmedicine.52.0453 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32116
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Title
Purulent pericarditis and cardiac tamponade caused by nocardia farcinica in a nephrotic syndrome patient
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Abstract
Nocardiosis is an uncommon infection that occurs primarily in immunocompromised patients. We herein report an extremely rare case of Nocardia farcinica (N. farcinica) pericarditis. A 53-year-old man with neph-rotic syndrome that required chronic corticosteroid therapy presented with pleuritic chest pain and cardiac tamponade. Pericardiocentesis revealed purulent pericardial effusion and a bacteriological examination showed the characteristic branching filamentous bacteria identified as N. farcinica. Aggressive surgical drainage and a trimethoprim-sulfamethoxazole based regimen resulted in clinical improvement. To the best of our knowledge, this is the first reported case of N. farcinica pericarditis in Thailand. © 2013 The Japanese Society of Internal Medicine.