Unusual presentation of pulmonary nocardiosis as pyopneumothorax in case of pemphigus vulgaris
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 11
Abstract
Nocardia is a partially acid fast, gram positive bacteria. Its microbiological appearance mimicks that of mycobacterium tuberculosis, hence it gets misdiagnosed on many occasions. It very commonly inflicts immunocompromised hosts. We are reposting a case of a 48 yr old female, a known case of pemphigus vulgaris and Diabetes Mellitus on treatment with steroids, Oral hypoglycemic agents and immunosup presants since past 15yrs who presented to us with right sided pyopneumothorax. she was treated by inserting PCNL catheter on the right side posteriorly and about 200ml of pus was drained. The culture and sensitivity report of the pus showed the growth of Nocardia species. She was treated with intravenous antibiotics and discharged with a long course of oral antibiotics sensitive to nocardia. On follow up visit she was symptomatically much better and chest CT showed almost complete resolution. The aim of this case report is to keep the possibility of nocardia in mind while treating any pyogenic lung infection, especially in a immunocompromised host.
Authors and Affiliations
Bharat Toshniwal, Rakesh Bilagi, Sunil Jadhav, Ashish Deshmukh, Shivprasad Kasat, Hafiz Deshmukh
Keywords
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