Nocardia asteroides sinusitis in a pediatric patient: Case report with 20 year follow-up and review of the literature.

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Nocardia asteroides sinusitis in a pediatric patient: Case report with 20 year follow-up and review of the literature.

Int J Pediatr Otorhinolaryngol. 2015 Jul;79(7):1152-4

Authors: Sorichetti B, Westerberg BD, Tan R, Kozak FK

Abstract
Nocardia Asteroides infection in a non-immunocompromised pediatric patient is extremely rare. We present a case of ethmoid sinusitis and orbital subperiosteal abscess caused by N. asteroides with a 20 year follow up and a review of the literature. N. asteroides 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.

PMID: 25943955 [PubMed - indexed for MEDLINE]

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