D. Debatzoguereh et al., SUBCUTANEOUS ABSCESS REVEALING A PULMONAR Y NOCARDIOSIS IN A HUMAN-IMMUNODEFICIENCY-VIRUS INFECTED PATIENT, Medecine et maladies infectieuses, 23(6-7), 1993, pp. 577-580
A 38-year-old, homosexual, HIV infected patient, with diabetes mellitu
s, aortic prothesis and thrombocytopenia treated with corticosteroids
presents a thoracic subcutaneous abscess with homolateral pneumonia. D
iagnosis of nocardial infection due to N. asteroides is assured by the
pus sample. There is apparently a primary pulmonary localization with
secondary fistulisation in the subcutaneous tissue. Therapy consistin
g of imipenem and ofloxacin is rapidely effective. This is the first r
eport of such a case in a HIV infected patient.