GEORGE P. SUSENS, M.D.; ABDUL AL-SHAMMA, M.D.; JOHN C. ROWE, M.D.; CHARLES C. HERBERT, M.D.; MILTON L. BASSIS, M.D.; GRANVILLE C. COGGS, M.D.
Infection with Nocardia asteroides, although rare, is being reported with increasing frequency, in part, no doubt, because of improvement in methods of laboratory identification. Invasion by this fungus is a relatively common complication of steroid therapy and of malignant neoplastic disease (1-5). The organism usually affects the lung or brain, but almost any organ may be involved. The following case is reported because we believe it to be the first instance in the literature in which nocardial infection gave rise to purulent constrictive pericarditis and to emphasize the difficulty that may attend the diagnosis.
A 56-year-old white photographer
SUSENS GP, AL-SHAMMA A, ROWE JC, HERBERT CC, BASSIS ML, COGGS GC. Purulent Constrictive Pericarditis Caused by Nocardia asteroides. Ann Intern Med. ;67:1021–1032. doi: 10.7326/0003-4819-67-5-1021
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© 2018
Published: Ann Intern Med. 1967;67(5):1021-1032.
DOI: 10.7326/0003-4819-67-5-1021
Cardiology, Infectious Disease, Pericardial Disease.
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