Title: Uncommon and Unusual Pathogen – A Case of Pulmonary and Cutaneous Nocardiosis
Authors: Akhil Deshmukh, Ravikumar Kurup, Anjali Nair, Anandhavishnu Sugathan, Aromal B Nath, Ashwin Ramachandran
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.90
Abstract
Nocardiosis is caused by Gram-positive aerobic bacilli of the genus Nocardia, which are saprophytes living in the soil. It is a rare and deceitful disease with a localized or disseminated infection Nocardiosis is an infection affecting individuals with defective cellular immunity. The disease must be considered in the differential diagnosis in an individual presenting with skin, lung, and neurological manifestations. Here is a case of a 40year male who was on steroids for steroid-responsive encephalopathy associated with thyroperoxidase presented with fever, cough, and skin abscesses confirmed to be pulmonary and cutaneous nocardiosis. The patient improved with long-term treatment with trimethoprim-sulfamethoxazole.
Keywords: Nocardiosis; Actinomycetoma; Sinus; Abscess; antibiotics; trimethoprim; sulfamethoxazole.
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