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Table 93-1

Treatment Duration for Nocardiosis

DiseaseDuration
Pulmonary or systemic
Intact host defenses6-12 months
Deficient host defenses12 monthsa
CNS disease12 monthsb
Cellulitis, lymphocutaneous syndrome2 months
Osteomyelitis, arthritis, laryngitis, sinusitis4 months
Actinomycetoma6-12 months after clinical cure
KeratitisTopical: until apparent cure
Systemic: until 2-4 months after apparent cure

aIn some pts with AIDS and CD4+ T lymphocyte counts of <200/µL or with chronic granulomatous disease, therapy for pulmonary or systemic disease must be continued indefinitely.

bIf all apparent CNS disease has been excised, the duration of therapy may be reduced to 6 months.