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Case Reports in Infectious Diseases
Volume 2015, Article ID 260640, 4 pages
http://dx.doi.org/10.1155/2015/260640
Case Report

Disseminated Nocardiosis: A Successful Blind Strategy of Treatment in an HIV Infected Patient

1Infectious Diseases Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal
2Internal Medicine Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal
3Neuroradiology Department, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal

Received 20 August 2014; Revised 18 January 2015; Accepted 22 February 2015

Academic Editor: Sinésio Talhari

Copyright © 2015 Ana C. Guerra et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Nocardiosis is a rare disease that mainly affects severely immunocompromised patients. Symptoms are nonspecific and microbiological isolation is difficult, hiding the diagnosis. Treatment should be guided by species and susceptibility testing. Findings. We report a clinical case of a disseminated nocardiosis in a patient with HIV and HVB infections. Interpretation. Diagnosis should be presumed early and microbiological conditions should be optimized, in order to identify the species and achieve antibiotic susceptibility testing. This is a very important step to choose an effective therapeutic regimen or alternative options.