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We describe a rare case of a disseminated  Nocardia farcinica  infection associated with hip osteomyelitis. A 91-year-old female patient was admitted with oedema of her right leg, fever of 38 °C and data consistent with ruptured Baker’s cyst. A disseminated  Nocardia farcinica  infection including bloodstream infection, pneumonia and multiple abscesses along both lower limbs was observed. After a four-week course of 320 mg / 1600 mg/12 h of intravenous trimethoprim/sulfamethoxazole and multiple chirurgic drainages the patient was discharged with oral trimethoprim/sulfamethoxazole. Nevertheless, the patient expired done month after being discharged from the hospital. The implementation of a combination of intravenous antibiotics and drainages resulted in an initial improvement in the patient’s condition. However, despite these interventions, the patient ultimately passed away probably due to natural causes.

Disseminated Nocardia farcinica infection associated with bacteraemia and osteomyelitis pubis in an elderly patient