Invasive Nocardia Infections across Distinct Geographic Regions, United States

被引：2

作者：

Gupta, Simran ^{[1
,4
,5
]}

Grant, Leah M. ^{[1
]}

Powers, Harry R. ^{[2
]}

Kimes, Kathryn E. ^{[1
,6
]}

Hamdi, Ahmed ^{[3
,7
]}

Butterfield, Richard J. ^{[1
]}

Gea-Banacloche, Juan ^{[1
,8
]}

Vijayvargiya, Prakhar ^{[3
,9
]}

Hata, D. Jane ^{[2
]}

Villegas, Diana M. Meza ^{[2
]}

Dumitrascu, Adrian C. ^{[2
]}

Harris, Dana M. ^{[2
]}

Chirila, Razvan M. ^{[2
]}

Zhang, Nan ^{[1
]}

Razonable, Raymund R. ^{[3
]}

Kusne, Shimon ^{[1
]}

Alvarez, Salvador ^{[2
]}

Vikram, Holenarasipur R. ^{[1
,10
]}

机构：

[1] Mayo Clin Arizona, Phoenix, AZ USA

[2] Mayo Clin Jacksonville, Jacksonville, FL USA

[3] Mayo Clin Rochester, Rochester, MN USA

[4] Massachusetts Gen Hosp, Boston, MA USA

[5] Brigham & Womens Hosp, Boston, MA USA

[6] Honor Hlth, Phoenix, AZ USA

[7] Baylor Coll Med, Houston, TX USA

[8] Natl Inst Allergy & Infect Dis, Bethesda, MD USA

[9] Univ Mississippi, Med Ctr, Jackson, MS USA

[10] Mayo Clin Arizona, Div Infect Dis, 5777 Mayo Blvd, Phoenix, AZ 85054 USA

来源：

EMERGING INFECTIOUS DISEASES | 2023年 / 29卷 / 12期

关键词：

SUSCEPTIBILITY; EPIDEMIOLOGY; SPP;

D O I：

10.3201/eid2912.230673

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We reviewed invasive Nocardia infections in 3 noncontiguous geographic areas in the United States during 2011-2018. Among 268 patients with invasive nocardiosis, 48.2% were from Minnesota, 32.4% from Arizona, and 19.4% from Florida. Predominant species were N. nova complex in Minnesota (33.4%), N. cyriacigeorgica in Arizona (41.4%), and N. brasiliensis in Florida (17.3%). Transplant recipients accounted for 82/268 (30.6%) patients overall: 14 (10.9%) in Minnesota, 35 (40.2%) in Arizona, and 33 (63.5%) in Florida. Manifestations included isolated pulmonary nocardiosis among 73.2% of transplant and 84.4% of non-transplant patients and central nervous system involvement among 12.2% of transplant and 3.2% of non-transplant patients. N. farcinica (20.7%) and N. cyriacigeorgica (19.5%) were the most common isolates among transplant recipients and N. cyriacigeorgica (38.0%), N. nova complex (23.7%), and N. farcinica (16.1%) among non-transplant patients. Overall antimicrobial susceptibilities were similar across the 3 study sites.

引用

页码：2417 / 2425

页数：9

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