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Circulating antibody to Nocardia in the serum of patients with Parkinson's disease.

Nocardia is a genus of aerobic Gram-positive bacteria which forms filamentous cells that fragmented into rod-shaped or coccoid elements or L-forms. According to the literature N. asteroides causes encephalitis with parkinsonian features, and it may be an unknown etiologic agent causing encephalitis with a parkinsonian syndrome. Because there are no reliable immunologic tests routinely used for diagnosing nocardial infection, less severe CNS infections with nocardiae may not be recognized or may be attributed to unknown or incorrect etiologic agents. Recently, it was shown that sublethal doses of N. asteroides causes an L-DOPA-responsive movement disorder with Lewy-like bodies in mice. In this study, we detected antibodies to nocardia in the serum of patients with Parkinson's disease (PD). Sera was diluted in PBS and added in two-fold dilutions to coccoid and rod-shaped cells of nocardia attached to nonfluorescence slides. IF test demonstrated antibodies to coccoid and rod-shaped cells of nocardia in the serum from 20/20 patients with PD at a titer greater than 1:10, and 14 controls showed 10 positively. The results suggested that not only PD patients but also age-matched healthy volunteers are routinely exposed to and naturally infected with nocardia-related microorganisms. A further reliable immunologic test will be required.

Antibodies, Bacterial↗

Response of CBA/N x DBA2/F1 mice to Nocardia asteroides.

Immunized and nonimmunized B-lymphocyte-deficient CBD2/F1 (CBA/N x DBA/2) mice were infected with Nocardia asteroides GUH-2 by different routes of inoculation. The 50% lethal dose, organ clearance, footpad response, and antibody titers were measured. It was observed that B-cell-deficient male mice were not significantly more susceptible to infection than normal female controls even though the female CBD2/F1 mice produced antinocardial antibodies while the deficient male animals did not. Preimmunized male and female mice were identical in their ability to clear N. asteroides from the adrenals, brain, kidneys, liver, lungs, and spleen. Both DBA/2 and CBD2/F1 female mice were more susceptible than their male littermates to intravenous challenge with N. asteroides GUH-2. This enhanced susceptibility of the female mice as compared to the male littermates appeared to be due to a decreased resistance to nocardial infections in the brains of the female animals. These data indicate that antibody and certain B-lymphocyte subpopulations are not essential components in host resistance to N. asteroides GUH-2 in these mice.

Animals↗

Nocardiosis in children: report of three cases and review of the literature.

The clinical illnesses observed in three adolescents with Nocardia asteroides infection are described. The organism has been classified as a bacterium and placed in the Actinomycetaceae family. Sulfonamides remain the first choice for chemotherapy but alternative drugs are available and may be essential in successful therapy. Nocardial infections in children indicate the need for evaluation for an underlying immunological deficiency. Nocardia species should be considered as possible causative agents in immunocompromised patients with infection.

Adolescent↗