Case Report on Pulmonary Nocardiosis in Immunocompetent Patient

Brunda MS¹, Shyma Shaji², Vandana AM² and Sivanesh Sekar^1,

¹Internal Medicine, Aster CMI, Bangalore, India

²Clinical Pharmacology, Aster CMI, Bangalore, India

Cite this paper:
Brunda MS, Shyma Shaji, Vandana AM and Sivanesh Sekar. Case Report on Pulmonary Nocardiosis in Immunocompetent Patient. American Journal of Medical Case Reports. 2023; 11(6):107-109. doi: 10.12691/ajmcr-11-6-1

Abstract

INTRODUCTION: Pulmonary nocardiosis is defined as pneumonia caused by Genus Nocardia (aerobic actinomycetes). Nocardiosis, caused by Gram-positive, weakly acid-fast, filamentous aerobic actinomycetes, is an opportunistic infection and remains as a possible cause of pulmonary and systemic infection in immunocompromised patients It is a rare condition in an immune-competent patients. METHODS: A prospective observational study was conducted in Aster CMI Hospital, Bengaluru. We prospectively examined the demographics, treatment related variables (including complications) and outcomes. RESULT: A 70-year-old female patient, experienced with a cough with expectoration, dyspnea, weight loss and recurrent sharp rise in body temperature. The diagnosis of nocardiosis is done by microscopic tests like Broncho alveolar lavage fluid and revealed filamentous Gram-positive bacteria Broncho alveolar lavage fluid aerobic culture showed Nocardia species. The patient was treated with Cotrimoxazole and Imipenem. The patient ameliorate both clinically and radiographically.

Keywords:
pulmonary nocardiosis immunocompetent

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