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Nocardia Asteroides Cervical Osteomyelitis in an Immunocompetent Host

Nocardiosis is a localized or disseminated infection usually introduced through the respiratory tract. The disease most commonly affects immunocompromised patients. Hematogenous dissemination may occur to brain, meninges, spinal cord, soft tissue, kidneys, and bone.’ Since, to the best of our knowledge, only two case reports exist of Nocardia cervical osteomyelitis, apparently this organism rarely causes neck abscess or cervical osteomyelitis. Furthermore, both reported cases developed in immunodeficient or severely ill patients, as one patient had an immunodeficiency syndrome? whereas the other had concurrent tuberculosis infection of the cervical spine.3 We recently cared for a previously healthy man in whom a Nocardia asteroides neck abscess with cervical vertebral destruction developed.