Nocardia asteroides sinusitis in a pediatric patient: Case report with 20 year follow-up and review of the literature. Issue 7 (July 2015)

• Record Type: Journal Article
• Authors: Sorichetti, Brendan; Westerberg, Brian D.; Tan, Rusung; Kozak, Frederick K.
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 79:Issue 7(2015:Jul.)
• Page Start: 1152
• Page End: 1154
• Publication Date: 2015-07
• Subjects: Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2015.04.022
• Languages: English
• ISSNs: 0165-5876

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <p id="spar0005"> <italic>Nocardia Asteroides</italic> infection in a non-immunocompromised pediatric patient is extremely rare. We present a case of ethmoid sinusitis and orbital subperiosteal abscess caused by <italic>N. asteroides</italic> with a 20 year follow up and a review of the literature. <italic>N. asteroides</italic> was grown from intraoperative cultures for mycobacteria following surgical incision and drainage of the abscess. Postoperatively, the patient received a seven month course of trimethoprim-sulfamethozaxole and had no subsequent sequelae. Nocardia infections are common in immunocompromised patients. We present what we believe to be the first case of pediatric Nocardia sinusitis with 20-year follow up.</p> </sec> </abstract>