Journal of Global Infectious Diseases

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 3  |  Issue : 2  |  Page : 128--132

Nocardiosis in a tertiary care hospital in Saudi Arabia


Hamdan Al-Jahdali1, Salem Baharoon2, Salwa Alothman3, Ziad Memish4, Abdelkarim Waness3 
1 Department of Medicine, Pulmonary Division, King Saud University for Health Science, King Abdullah International Research Center, Riyadh, Saudi Arabia
2 Department of Intensive Care, King Saud University for Health Science, King Abdullah International Research Center, Riyadh, Saudi Arabia
3 Department of Medicine, Division of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia
4 Department of Infectious Control, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Hamdan Al-Jahdali
Department of Medicine, Pulmonary Division, King Saud University for Health Science, King Abdullah International Research Center, Riyadh
Saudi Arabia

Background: Nocardiosis is an uncommon bacterial infection that is caused by aerobic actinomycetes of the genus Nocardia. This pathogen has emerged as an important cause of mortality and morbidity among both immunocompetent and (more commonly) immunocompromised hosts. The prevalence of nocardiosis is unknown in Saudi Arabia. Only sporadic cases of cutaneous nocardiosis have been reported. In this study, we performed a 10-year retrospective review of all cases of nocardiosis identified at the King Fahad National Guard Hospital in Riyadh. Clinical presentation, risk factors, site of disease involvement, radiological features, and outcomes of 30 patients with pulmonary and disseminated nocardiosis are presented. Materials and Methods: A retrospective chart review of all cases of nocardiosis over the last ten years. Results: Thirty cases of nocardiosis were identified. The disease was more common in males. Fever and cough was the most common presentation. Most of the patients had an underlying pulmonary disease. Consolidation was the most prevalent radiological feature. Pleural effusion was common. Unfortunately, none of the isolates were sub-speciated. Cure was possible in 40% of the cases. Ten percent of patients died, while follow-up on the rest of the patients was lost. Conclusion: Nocardiosis is not uncommon in Saudi Arabia. Cases are not restricted to the classical immunocompromised host. A database is urgently needed to better evaluate the prevalence of the illness among the Saudi population.


How to cite this article:
Al-Jahdali H, Baharoon S, Alothman S, Memish Z, Waness A. Nocardiosis in a tertiary care hospital in Saudi Arabia.J Global Infect Dis 2011;3:128-132


How to cite this URL:
Al-Jahdali H, Baharoon S, Alothman S, Memish Z, Waness A. Nocardiosis in a tertiary care hospital in Saudi Arabia. J Global Infect Dis [serial online] 2011 [cited 2019 Dec 6 ];3:128-132
Available from: http://www.jgid.org/article.asp?issn=0974-777X;year=2011;volume=3;issue=2;spage=128;epage=132;aulast=Al-Jahdali;type=0