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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

Infectious Diseases in Clinical Practice: July 2014 - Volume 22 - Issue 4 - p e34–e36
doi: 10.1097/IPC.0b013e31829104fe
Case Reports

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.

From the *Division of General Internal Medicine, Department of Internal Medicine and †Division of Critical Care, Pulmonary and Sleep Medicine, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX.

Correspondence to: Gabriel M. Aisenberg, MD, Division of General Internal Medicine, Department of Internal Medicine, The University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 1.122, Houston, TX 77030. E-mail: Gabriel.M.Aisenberg@uth.tmc.edu.

The authors have no funding or conflicts of interest to disclose.

The authors provided support for this study.

© 2014 by Lippincott Williams & Wilkins.