Martinez et al identified prognostic factors for a patient with nocardiosis. These can help to identify a patient who may require more aggressive management. The authors are from University Hospital La Fe, Valencia, Spain.
Factors associated with a poor prognosis in a patient with nocardiosis:
(1) disseminated disease, especially with CNS involvement
(2) delay in diagnosis
(3) delay in initiating appropriate antibiotic therapy
A high index of suspicion in a susceptible host and aggressive management can be lifesaving with this condition.
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