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Pulmonary nocardiosis in a 3-year-old child
  1. M. D. Holdaway,
  2. J. Kennedy,
  3. T. Ashcroft,
  4. J. J. Kay-Butler1
  1. Royal Victoria Infirmary and the University of Newcastle upon Tyne


    Until 1960, 179 cases of infection with Nocardia asteroides had been described in the world literature. Seventeen cases in children were reported by 1963. The organism is a common saprophyte in nature with probably a world-wide distribution. Infection can be primary but is more common in patients with underlying malignancy, auto-immune disease or preceding tuberculosis. Sulphonamides, particularly sulphadiazine, are the drugs of choice in treatment; the value of antibiotics is less clearly established. The indications for surgical treatment have not yet been defined. We record a further case of primary pulmonary nocardiosis in a 3-year-old child.

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    • 1 Present address: Doncaster Royal Infirmary, Doncaster