17Nocardia species generally grow well on culture media in contrast to limited metabolic 18activities. Yet there are rare studies that have examined systematically the effect of culture media 19 on the clinical recovery of these Gram-positive branching bacilli, particularly in relation to many 20 recently described or revised Nocardia species. We analyzed 146 clinical Nocardia strains, of 24 21 species, recovered at the University of Texas M. D. Anderson Cancer Center from 2002-2018 for 22 their growth on culture media. Among media setups to culture routine bacteria, fungi, and acid-23 fast bacilli (AFB), the AFB media alone recovered 35 strains as did fungal media with 26 strains 24 and routine media with 10 strains. Seventy five strains were recovered on two and three media 25 setups. On AFB media most Nocardia nova strains (24 of 29) grew, significantly more than all 26 other strains did. Likewise, all four strains of Nocardia mikamii were cultivated solely on AFB 27 media. Fungal media yielded all six strains of Nocardia wallacei that were resistant to 28 tobramycin and/or amikacin; this growth could be explained by the presence of gentamycin in 29 one fungal medium. Specimen source also affected the recovery: more Nocardia strains grew on 30 every media setup from normally sterile specimens than from nonsterile specimens. These results 31 suggest that diverse culture media support the growth of many Nocardia species. The better 32 recoveries of these organisms from AFB media and fungal media are likely attributable to 33 decontamination of specimens on AFB culture, incorporation of selective antimicrobial agents 34 into the media, and prolonged incubation. 35 36 was performed at a reference laboratory according to the guidelines of Clinical and Laboratory 234 Standards Institute (17). Those strains with all culture setups, i.e., C RT, C Fung, and C AFB 235 were subjected to analyses. Correlations with specimen types, species identification, and 236 susceptibility to antimicrobial agents were also performed. When appropriate, statistical analyses 237 were performed by using Fisher's exact method or χ 2 test method. 238 239 Clin Microbiol. 41:4497-4501. 264 8. Chun J, Goodfellow M. 1995. A phylogenetic analysis of the genus Nocardia with 16S 265 rRNA gene sequences. Int J Syst Bacteriol. 45:240-245. 266 9. Wellinghausen N, Pietzcker T, Kern WV, Essig A, Marre R. 2002. Expanded 267 spectrum of Nocardia species causing clinical nocardiosis detected by molecular 14. Xiao M, Kong F, Sorrell TC, Cao Y, Lee OC, Liu Y, Sintchenko V, Chen SC. 2010. 282 Identification of pathogenic Nocardia species by reverse line blot hybridization targeting 283 the 16S rRNA and 16S-23S rRNA gene spacer regions. J Clin Microbiol. 48:503-11. 284 15. Conville PS, Murray PR, Zelazny AM. 2010. Evaluation of the integrated database 285 network system (IDNS) SmartGene software for analysis of 16S rRNA gene sequences 286 for identification of Nocardia species. J Clin Microbiol. 48:2995-2998. 287 22. Nishiuchi Y, Baba T, Hotta HH, Yano I. 199...