REPEATED PULMONARY INFECTION BY NOCARDIA-ASTEROIDES COMPLEX IN A PATIENT WITH BRONCHIECTASIS

A rare case of pulmonary nocardiosis was presented in a nonimmunocompr omised patient who had chronic airway obstruction and bronchiectasis w ithout corticoid treatment. The microbial diagnosis was established af ter isolating Nocardia in bronchial aspirate and sputum samples. An in vitro study showed sensitivity only to imipenem, netilmicine, amikaci n and ofloxacin. The evolution was chronic, with multiple clinical rec urrences in spite of prolonged antibiotic treatment. Finally, the erad ication of Nocardia was achieved with the combination of imipenem and amikacin.