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Ann Thorac Surg 1991;52:861-862
© 1991 The Society of Thoracic Surgeons

Articles

Constrictive pericarditis from Nocardia asteroides infection

Randy Kessler, MD*, Fabrizio Follis, MD, Daniel Daube, MD, Jorge Wernly, MD

Department of Surgery, University of New Mexico Medical Center, Albuquerque, New Mexico USA

Accepted for publication March 1, 1991.

* Address reprint requests to Dr Kessler, Department of Surgery, University of New Mexico, 2211 Lomas Blvd, NE, Albuquerque, NM 87131-5341.

Human nocardiosis usually involves the respiratory tract or the skin but may disseminate to virtually any organ. It occurs in immunocompromised hosts as well as individuals with no apparent predisposition. Involvement of the pericardium is uncommon, having been reported infrequently in the past, but mandates surgical management. This report describes the course of a patient with chronic constrictive pericarditis from nocardia successfully treated with pericardiectomy and appropriate antibiotic therapy.




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[Full Text]


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