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. 2020 Dec 31;7(Suppl 1):S778–S779. doi: 10.1093/ofid/ofaa439.1737

1557. First Report of Nocardia veterana Soft Tissue Abscess

Christopher Radcliffe 1, Matthew Grant 1
PMCID: PMC7777932

Abstract

Background

Members of the genus Nocardia are filamentous, gram-positive, aerobic bacteria and exist ubiquitously in most environments. In 2001, the species Nocardia veterana was first isolated, and it predominantly causes pulmonary infections in immunocompromised hosts.

Methods

We present the first report of a soft tissue abscess caused by N. veterana in a 59-year-old woman being treated for chronic cutaneous graft-versus-host disease.

Results

After failing to improve with empiric treatment, two incision and drainage procedures were required. She subsequently completed a one-year course of oral antibiotic therapy consisting of trimethoprim-sulfamethoxazole then azithromycin. No relapse occurred. To better characterize N. veterana infections, we performed a systematic literature review and summarized all previously reported cases.

Nocardia veterana abscess

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Conclusion

The rising prevalence of immunocompromising conditions warrants increased vigilance for N. veterana infections and other atypical or opportunistic pathogens.

Disclosures

All Authors: No reported disclosures


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