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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31829104fe
Case Reports

Pericardial Tamponade Caused by Nocardia asteroides in a Patient With Acquired Immunodeficiency Syndrome: Would Sulfa Prophylaxis Have Spared This Infection?

Aisenberg, Gabriel M. MD*; Estrada y Martin, Rosa M. MD

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Abstract

Pericardial tamponade caused by Nocardia species is an uncommon presentation. We present a 37-year-old African American male patient with acquired immunodeficiency syndrome, not on Pneumocystis jirovecii prophylaxis, who was admitted with pericardial tamponade due to Nocardia asteroides. Pericardial effusion and tamponade are important considerations in hypotensive patient with advanced acquired immunodeficiency syndrome. After reviewing the literature, we hypothesize the potential prophylactic benefit of daily sulfa use.

Copyright © 2013 by Lippincott Williams & Wilkins

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