A FIBROUS CAVITY IN AN IMMUNOCOMPROMISED LUNG: NOCARDIOSIS MASQUERADING AS TUBERCULOSIS
DOI:
https://doi.org/10.22159/ajpcr.2016.v9i6.13855Abstract
Nocardia species can cause fulminant necrotizing cavitatory pneumonia. Diagnosis involves identification of the organism, speciation and correlating with appropriate clinical and radiological findings. Speciation is often difficult due to the complexities involved in culturing the organism. Treatment involves administering antibiotics for a prolonged duration. The authors hereby report a case of pulmonary Nocardiosis in a patient who had pre-morbidities like cirrhosis of liver and membrano-proliferative glomerular nephritis on immune-suppression with high dose corticosteroids making him vulnerable to the organism.
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Lederman ER, Crum NF. A case series and focused review of nocardiosis: clinical and microbiologic aspects. Medicine (Baltimore). 2004; 83: 300-13.
Ameen M, Arenas R, del Mercado E. V, Fernández R, Torres E, Zacarias R. Efficacy of imipenem therapy for Nocardia actinomycetomas refractory to sulfonamides. Journal of the American Academy of Dermatology. 2010; 62(2):239–46.
Jayaprakash B, Rao KN, Patil N, Avinash A, Rao R, Kunder SK, et al. Nocardia meningitis in a newly diagnosed HIV positive patient. Res J Pharm Biol Chem Sci 2016;7(1):1575-7.
Brown-Elliott BA, Brown JM, Conville PS, Wallace RJ. Clinical and Laboratory Features of the Nocardia spp. Based on Current Molecular Taxonomy. Clinical Microbiology Reviews. 2006; 19(2):259-82.
Kumar A, Reddy A, Satagopan K. Unusual presentation of pulmonary nocardiosis as pyopneumothorax in HIV. Lung India : Official Organ of Indian Chest Society. 2015; 32(3):295-6.
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