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Immunosuppressed patients are more susceptible to infections from Nocardia and are associated with multi-organ involvement. We report a case of a 63-year-old male who developed peritonitis from Nocardia farcinica that rarely causes infections in humans. The nonspecific symptoms, negative blood cultures, and slow growth can make diagnosis difficult. Despite aggressive therapy, the virulence and inherent resistance to the antibiotics can result in high mortality from Nocardia farcinica infections.<\/jats:p>","DOI":"10.1177\/2324709619899598","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T07:33:03Z","timestamp":1579764783000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["An Unusual Presentation From a Sporadic Partially Acid-Fast Aerobic Actinomycete Resistant to Common Antibiotics"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5608-5654","authenticated-orcid":false,"given":"Sreedhar","family":"Adapa","sequence":"first","affiliation":[{"name":"The Nephrology Group, Fresno, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srikanth","family":"Naramala","sequence":"additional","affiliation":[{"name":"Adventist Medical Center, Hanford, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay","family":"Gayam","sequence":"additional","affiliation":[{"name":"Interfaith Medical Center, Brooklyn, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8633-7717","authenticated-orcid":false,"given":"Rajan","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Augusta University Medical Center, Augusta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Raju","sequence":"additional","affiliation":[{"name":"Kaweah Delta Medical Center, Visalia, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pallav","family":"Patel","sequence":"additional","affiliation":[{"name":"Kaweah Delta Medical Center, Visalia, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-8815","authenticated-orcid":false,"given":"Venu Madhav","family":"Konala","sequence":"additional","affiliation":[{"name":"Ashland Bellefonte Cancer Center, Ashland, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"bibr1-2324709619899598","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2016.08.003"},{"key":"bibr2-2324709619899598","first-page":"4968371","volume":"2018","author":"Adapa S","year":"2018","journal-title":"Case Rep Nephrol"},{"key":"bibr3-2324709619899598","first-page":"95","volume":"58","author":"Liassine N","year":"1992","journal-title":"Arch Inst Pasteur Alger"},{"key":"bibr4-2324709619899598","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.012"},{"key":"bibr5-2324709619899598","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007211"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709619899598","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2324709619899598","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2324709619899598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:00:21Z","timestamp":1777449621000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2324709619899598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":5,"alternative-id":["10.1177\/2324709619899598"],"URL":"https:\/\/doi.org\/10.1177\/2324709619899598","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2324709619899598"}}