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Volume 28, Number 11—November 2022
CME ACTIVITY - Synopsis

Multispecies Outbreak of Nocardia Infections in Heart Transplant Recipients and Association with Climate Conditions, Australia

Jonathan Li, Cindy Lau, Naomi Anderson, Fay Burrows, Feras Mirdad, Lilibeth Carlos, Andrew J. Pitman, Kavitha Muthiah, David R. Darley, David Andresen, Peter Macdonald, Deborah Marriott1, and Nila J. Dharan1Comments to Author 
Author affiliations: St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia (J. Li, C. Lau, N. Anderson, F. Burrows, F. Mirdad, L. Carlos, K. Muthiah, D.R. Darley, D. Andresen, P. Macdonald, D. Marriott, N.J. Dharan); Australian Research Council Centre of Excellence for Climate Extremes and Climate Change Research Centre, at UNSW Sydney, Sydney, New South Wales(A.J. Pitman); Victor Chang Cardiac Research Institute, Darlinghurst (K. Muthiah, P. Macdonald); UNSW Sydney, Sydney (D.R. Darley, N.J. Dharan); University of Notre Dame, Sydney (D. Andresen)

Main Article

Figure 1

Nocardia infections among HTR and LTR, by date of first positive specimen, Greater Sydney, New South Wales, Australia, June 2015–March 2021. During June 2015–December 2017, there were 6 Nocardia cases (0.19/mo), of which 2 (33%) were in HTR. During January 2018–December 2019, there were 13 Nocardia case-patients (0.54/mo), of which 12 (92%) were in HTR. During January 2020–March 2021, there were 4 Nocardia cases (0.26 per month) of which 2 (50%) were HTR. A) Nocardia cases over time by type of transplant. B) Nocardia cases over time by Nocardia species. HTR, heart transplant recipient; LTR, lung transplant recipient.

Figure 1. Nocardia infections among HTR and LTR, by date of first positive specimen, Greater Sydney, New South Wales, Australia, June 2015–March 2021. During June 2015–December 2017, there were 6 Nocardia cases (0.19/mo), of which 2 (33%) were in HTR. During January 2018–December 2019, there were 13 Nocardia case-patients (0.54/mo), of which 12 (92%) were in HTR. During January 2020–March 2021, there were 4 Nocardia cases (0.26 per month) of which 2 (50%) were HTR. A) Nocardia cases over time by type of transplant. B) Nocardia cases over time by Nocardia species. HTR, heart transplant recipient; LTR, lung transplant recipient.

Main Article

1These authors contributed equally to this article.

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