Nocardia osteomyelitis: a rare complication after intramedullary nailing of a closed tibial shaft fracture.

Posttraumatic osteomyelitis of the tibia represents a major therapeutic challenge and continues to be associated with poor outcomes. In this article, we report on the successful management of a rare case of a Nocardia osteomyelitis of the tibial shaft secondary to intramedullary nailing of a closed fracture in a 19-year-old immunocompetent patient. In addition, we provide a review of the literature in the field and discuss optimized treatment strategies.