Nocardia farcinica is an emerging pathogen in immunocompromised hosts, acco
unting for 20% of Nocardia isolates in the USA and 13-44% of isolates in Eu
rope. The case of a 72-year-old lymphoma patient with a laryngeal abscess c
aused by Nocardia farcinica is presented. The initial clinical manifestatio
n was unilateral vocal cord paralysis, which improved following surgical dr
ainage of the abscess and therapy with imipenem. The English-language liter
ature on human Nocardia farcinica infection is reviewed.