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Korean J Infect Dis. 1998 Jun;30(3):300-303. Korean. Case Report.
Choi JH , Choi SM , Lee IS , Choi JH , Lee JW , Shin WS , Min WS , Kim CC , Kim DJ .
Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.

The nocardiae are gram-positive, aerobic actinomycetes causing opportunistic infections in compromised hosts, such as recipients of solid organ transplants, patients with AIDS, and patients with cancer receiving immunosuppressive therapy, and those with chronic illnesses. Because cellular immunity and neutrophil function are critical for the clearance of Nocardia, frequent infection with the organism would be expected amongmarrow recipients, but reports of nocardiosis are surprisingly rare among these patients. We report a case of nocardiosis sixteen months after an allogenic bone marrow transplantation. The patient was successfully treated with imipenem and amikacin for 4 weeks and then with oral trimethoprim-sulfamethoxazole.

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