Nocardia in Ischiorectal Abscess: A Case Report

Abstract

Nocardial infection is caused by soil-borne aerobic bacteria. Nocardia in ischiorectal abscess is a rare presentation. Here, we present a case of ischiorectal abscess in an immunocompetent male patient with a history of trauma. The isolate was identified as Nocardia asteroides by standard methods. The patient responded well to amikacin and surgical drainage. Thus, this case highlights the importance of Nocardia species also as one of the causative agents in ischiorectal abscess along with other bacteria like E. coli, Proteus, Pseudomonas, Clostridium and Bacteroides which are more commonly isolated.