{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:24:46Z","timestamp":1783956286023,"version":"3.55.0"},"reference-count":30,"publisher":"Instituto Nacional de Salud (Colombia)","issue":"2","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["revistabiomedica.org"],"crossmark-restriction":false},"short-container-title":["Biomed."],"abstract":"<jats:p>La nocardiosis es una infecci\u00f3n causada por un bacilo grampositivo filamentoso que afecta en mayor medida a los pacientes inmunosuprimidos. Sus manifestaciones pueden ser localizadas o sist\u00e9micas. Para seleccionar el tratamiento, se debe considerar el \u00f3rgano comprometido, la gravedad de la infecci\u00f3n y el perfil de sensibilidad microbiana.Se presentan 14 casos de pacientes con infecci\u00f3n por Nocardia spp. atendidos en diferentes instituciones de salud de Bogot\u00e1 entre enero del 2008 y noviembre del 2023. La informaci\u00f3n se obtuvo del laboratorio de microbiolog\u00eda, y se buscaron variables demogr\u00e1ficas, cl\u00ednicas y de laboratorio.La edad promedio de los pacientes incluidos fue de 49,8 a\u00f1os (30 a 72 a\u00f1os), 10 eran hombres y nueve ten\u00edan un diagn\u00f3stico que implicaba inmunosupresi\u00f3n: seis ten\u00edan c\u00e1ncer y tres, otras condiciones de inmunosupresi\u00f3n. Las comorbilidades m\u00e1s frecuentes fueron diabetes e hipertensi\u00f3n arterial sist\u00e9mica. La presentaci\u00f3n cl\u00ednica de la nocardiosis fue cr\u00f3nica en 10 de los casos, y los \u00f3rganos comprometidos fueron cerebro y pulm\u00f3n en 7. Fue posible identificar la especie de Nocardia en cinco de los pacientes; uno de los evaluados present\u00f3 infecci\u00f3n por Cryptococcus spp. El tratamiento para la nocardiosis fue prolongado e incluy\u00f3 trimetoprim-sulfametoxazol en 12 casos; fallecieron cuatro pacientes.La infecci\u00f3n por Nocardia spp. es principalmente oportunista, con aspectos cl\u00ednicos y microbiol\u00f3gicos \u00fanicos. Es un diagn\u00f3stico diferencial de abscesos localizados o sist\u00e9micos en pacientes inmunosuprimidos. La sospecha cl\u00ednica permite un enfoque cuidadoso en t\u00e9rminos de diagn\u00f3stico y el inicio de tratamiento antibi\u00f3tico emp\u00edrico, que sigue siendo heterog\u00e9neo, puede tener un impacto positivo en la supervivencia.<\/jats:p>","DOI":"10.7705\/biomedica.7486","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T10:31:13Z","timestamp":1749033073000},"page":"197-214","update-policy":"https:\/\/doi.org\/10.7705\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Nocardiosis: serie de casos y revisi\u00f3n bibliogr\u00e1fica","Nocardiosis: A case series and literature review"],"prefix":"10.7705","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7267-2461","authenticated-orcid":false,"given":"Jos\u00e9 Camilo","family":"\u00c1lvarez-Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0530-7066","authenticated-orcid":false,"given":"Carlos A.","family":"Sol\u00f3rzano-Ramos","sequence":"additional","affiliation":[{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"},{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-1567","authenticated-orcid":false,"given":"Viviana","family":"L\u00f3pez-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"},{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3952-5432","authenticated-orcid":false,"given":"Luisa","family":"Torres-Rubio","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Interna, Cl\u00ednica Centenario, Bogot\u00e1, D. C., Colombia"},{"name":"Servicio de Medicina Interna, Cl\u00ednica Centenario, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6005-6407","authenticated-orcid":false,"given":"Ana","family":"Ovalle-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia; Servicio de Medicina Interna, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, D. C., Colombia"},{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia; Servicio de Medicina Interna, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-3594","authenticated-orcid":false,"given":"Jersson Camilo","family":"S\u00e1nchez-G\u00e1mez","sequence":"additional","affiliation":[{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia; Servicio de Medicina Interna, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, D. C., Colombia"},{"name":"Servicios de Medicina Interna e Infectolog\u00eda, Hospital Universitario Cl\u00ednica San Rafael, Bogot\u00e1, D.C., Colombia; Servicio de Medicina Interna, Fundaci\u00f3n Santa Fe de Bogot\u00e1, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6020-6666","authenticated-orcid":false,"given":"Cindy L.","family":"Beltr\u00e1n-Endo","sequence":"additional","affiliation":[{"name":"Facultad de Medicina, Universidad Surcolombiana, Neiva, Colombia"},{"name":"Facultad de Medicina, Universidad Surcolombiana, Neiva, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9865-9097","authenticated-orcid":false,"given":"Mar\u00eda J.","family":"L\u00f3pez-Mora","sequence":"additional","affiliation":[{"name":"Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Infectolog\u00eda, Hospital San Ignacio, Bogot\u00e1, D. C., Colombia; Servicio de Infectolog\u00eda, Fundaci\u00f3n Centro de Tratamiento e Investigaci\u00f3n sobre C\u00e1ncer(CTIC), Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n GIGA, Centro de Tratamientos e Investigaci\u00f3n sobre C\u00e1ncer, Universidad El Bosque, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Infectolog\u00eda, Hospital San Ignacio, Bogot\u00e1, D. C., Colombia; Servicio de Infectolog\u00eda, Fundaci\u00f3n Centro de Tratamiento e Investigaci\u00f3n sobre C\u00e1ncer(CTIC), Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n GIGA, Centro de Tratamientos e Investigaci\u00f3n sobre C\u00e1ncer, Universidad El Bosque, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5841-1409","authenticated-orcid":false,"given":"Julio C.","family":"G\u00f3mez-Rinc\u00f3n","sequence":"additional","affiliation":[{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Facultad de Medicina, Universidad El Bosque, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Facultad de Medicina, Universidad El Bosque, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-9179","authenticated-orcid":false,"given":"Cristian L.","family":"Cubides-Cruz","sequence":"additional","affiliation":[{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4474-9390","authenticated-orcid":false,"given":"Rose M.","family":"Jaramillo-Calle","sequence":"additional","affiliation":[{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-0098","authenticated-orcid":false,"given":"Vanessa","family":"Correa-Forero","sequence":"additional","affiliation":[{"name":"Grupo de Infectolog\u00eda, Hospital San Ignacio, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Hospital San Ignacio, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8822-1841","authenticated-orcid":false,"given":"Nidia Gabriela Cristina","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Facultad de Medicina, Universidad Nacional de Colombia, Bogot\u00e1, D. C., Colombia"},{"name":"Facultad de Medicina, Universidad Nacional de Colombia, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5676-880X","authenticated-orcid":false,"given":"Sonia Isabel","family":"Cuervo-Maldonado","sequence":"additional","affiliation":[{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Facultad de Medicina, Universidad Nacional de Colombia, Bogot\u00e1, D. C., Colombia"},{"name":"Grupo de Infectolog\u00eda, Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Grupo de Investigaci\u00f3n Enfermedades Infecciosas en C\u00e1ncer y Alteraciones Hematol\u00f3gicas (GREICAH), Instituto Nacional de Cancerolog\u00eda, Bogot\u00e1, D. C., Colombia; Facultad de Medicina, Universidad Nacional de Colombia, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4444","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"147763","doi-asserted-by":"crossref","unstructured":"1. Duggal SD, Chugh T Das. Nocardiosis: A neglected disease. Med Princ Pract. 2020;29:514-23. https:\/\/doi.org\/10.1159\/000508717","DOI":"10.1159\/000508717"},{"key":"147764","doi-asserted-by":"crossref","unstructured":"2. Corti ME, Fioti ME. Nocardiosis: A review. Int J Infect Dis. 2003;7:243-50. https:\/\/doi.org\/10.1016\/s1201-9712(03)90102-0","DOI":"10.1016\/S1201-9712(03)90102-0"},{"key":"147765","doi-asserted-by":"crossref","unstructured":"3. Sorrell TC, Mitchell DH, Iredell JR, Chen SC. Nocardia species. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett\u2019s Principles and practice of infectious diseases. 7th edition. Philadelphia, PA: Elsevier Inc; 2015. p. 3015-25.","DOI":"10.1016\/B978-1-4557-4801-3.00255-1"},{"key":"147766","doi-asserted-by":"crossref","unstructured":"4. Beaman BL, Beaman L. Nocardia species: Host-parasite relationships. Clin Microbiol Rev. 1994;7:213-64. https:\/\/doi.org\/10.1128\/CMR.7.2.213","DOI":"10.1128\/CMR.7.2.213"},{"key":"147767","doi-asserted-by":"crossref","unstructured":"5. Wilson JW. Nocardiosis: Updates and clinical overview. Mayo Clin Proc. 2012;87:403-7. https:\/\/doi.org\/10.1016\/j.mayocp.2011.11.016","DOI":"10.1016\/j.mayocp.2011.11.016"},{"key":"147768","doi-asserted-by":"crossref","unstructured":"6. Steinbrink J, Leavens J, Kauffman CA, Miceli MH. Manifestations and outcomes of Nocardia infections: Comparison of immunocompromised and non-immunocompromised adult patients. Medicine. 2018;97:e12436. https:\/\/doi.org\/10.1097\/MD.0000000000012436","DOI":"10.1097\/MD.0000000000012436"},{"key":"147769","doi-asserted-by":"crossref","unstructured":"7. Minero MV, Mar\u00edn M, Cercenado E, Rabad\u00e1n PM, Bouza E, Mu\u00f1oz P. Nocardiosis at the turn of the century. Medicine. 2009;88:250-61. https:\/\/doi.org\/10.1097\/MD.0b013e3181afa1c8","DOI":"10.1097\/MD.0b013e3181afa1c8"},{"key":"147770","doi-asserted-by":"crossref","unstructured":"8. Maggiorelli C, Di Pierro I, Manta C, Maccari U, Galanti I, Scala R. Nocardia and lungs in COPD: Beyond immuno-deficiencies. COPD. 2015;12:321-6. https:\/\/doi.org\/10.3109\/15412555.2014.93395","DOI":"10.3109\/15412555.2014.933951"},{"key":"147771","doi-asserted-by":"crossref","unstructured":"9. Clark NM, Reid GE. Nocardia infections in solid organ transplantation. Am J Transplant. 2013;13(Suppl.4):S83-92. https:\/\/doi.org\/10.1111\/ajt.12102","DOI":"10.1111\/ajt.12102"},{"key":"147772","doi-asserted-by":"crossref","unstructured":"10. Wang HL, Seo YH, LaSala PR, Tarrand JJ, Han XY. Nocardiosis in 132 patients with cancer: Microbiological and clinical analyses. Am J Clin Pathol. 2014;142:513-23. https:\/\/doi.org\/10.1309\/AJCPW84AFTUWMHYU","DOI":"10.1309\/AJCPW84AFTUWMHYU"},{"key":"147773","doi-asserted-by":"crossref","unstructured":"11. Bambace NM, Poirier L, Cohen S, Kiss T, Sauvageau G, Roy J, et al. Nocardiosis in allogeneic hematopoietic stem cell transplant recipients: A matched case-control study of risk factors, clinical features, and outcomes. Biol Blood Marrow Transplant. 2013;19(Suppl.):S280.","DOI":"10.1016\/j.bbmt.2012.11.396"},{"key":"147774","doi-asserted-by":"crossref","unstructured":"12. Torres HA, Reddy BT, Raad II, Tarrand J, Bodey GP, Hanna HA, et al. Nocardiosis in cancer patients. Medicine. 2002;81:388-97. https:\/\/doi.org\/10.1097\/00005792-200209000-00004","DOI":"10.1097\/00005792-200209000-00004"},{"key":"147775","doi-asserted-by":"crossref","unstructured":"13. Kim YK, Sung H, Jung J, Yu SN, Lee JY, Kim SH, et al. Impact of immune status on the clinical characteristics and treatment outcomes of nocardiosis. Diagn Microbiol Infect Dis. 2016;85:482-7. https:\/\/doi.org\/10.1016\/j.diagmicrobio.2016.05.004","DOI":"10.1016\/j.diagmicrobio.2016.05.004"},{"key":"147776","doi-asserted-by":"crossref","unstructured":"14. Cattaneo C, Antoniazzi F, Caira M, Castagnola C, Delia M, Tumbarello M, et al. Nocardia spp. infections among hematological patients: Results of a retrospective multicenter study. 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