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VOLUME 22 , ISSUE 2 ( 2018 ) > List of Articles

CASE REPORT

Pulmonary Nocardiosis: Unusual Presentation in Intensive Care Unit

Ashok Singh, Aditya Shukla, R Bajwa, Roshni Agrawal, Neha Srivastwa

Keywords : Immune-competent host, linezolid, pulmonary nocardiosis

Citation Information : Singh A, Shukla A, Bajwa R, Agrawal R, Srivastwa N. Pulmonary Nocardiosis: Unusual Presentation in Intensive Care Unit. Indian J Crit Care Med 2018; 22 (2):125-127.

DOI: 10.4103/ijccm.IJCCM_472_17

License: CC BY-ND 3.0

Published Online: 00-02-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Pulmonary nocardiosis is a rare disease, which mainly affects immunocompromised hosts such as uncontrolled diabetics; HIV patients; and patients on immunosuppressive therapies such as anticancer drugs, systemic steroids, and transplant recipients. The diagnosis is often missed and delayed, resulting in inappropriate treatment and thus higher mortality. We are reporting a case of pulmonary nocardiosis with acute presentation in an immune-competent host, who presented with community-acquired pneumonia to the Intensive Care Unit. Clinical expertise with multiple high-end and interventional investigations timely confirmed the case as pulmonary nocardiosis. Conservative management with medications led to her complete recovery.


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