Palaninathan PA, Elias DM, Nagarajan N, Ramakrishnan P, Kumari SL
{"title":"肺诺卡菌病表现为肺恶性肿瘤的罕见病例报告","authors":"Palaninathan PA, Elias DM, Nagarajan N, Ramakrishnan P, Kumari SL","doi":"10.17727/jmsr.2023/11-44","DOIUrl":null,"url":null,"abstract":"Pulmonary nocardiosis is a rare infectious disorder mainly affecting immunocompromised patients. It may remain cryptic which gradually progresses in its course. Our patient was a 37 years old immunocompetent female who presented with radiological picture of left upper lobe opacification. She was treated with empirical anti tuberculosis treatment outside, no radiological improvement seen. After she reported here, she was evaluated with bronchoscopy with biopsy and bronchial wash culture showed Nocardia species. She was managed with trimethoprim-sulphamethoxazole and amikacin with regular follow up for 6 months. She had radiological resolution and clinical improvement after 4 months of treatment. Hence we made the diagnosis of this rare infection in immunocompetent individual and successfully treated her, which was mistreated as pulmonary tuberculosis elsewhere.","PeriodicalId":32890,"journal":{"name":"Journal of Medical and Scientific Research","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A rare case report of pulmonary nocardiosis mimicking as lung malignancy\",\"authors\":\"Palaninathan PA, Elias DM, Nagarajan N, Ramakrishnan P, Kumari SL\",\"doi\":\"10.17727/jmsr.2023/11-44\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Pulmonary nocardiosis is a rare infectious disorder mainly affecting immunocompromised patients. It may remain cryptic which gradually progresses in its course. Our patient was a 37 years old immunocompetent female who presented with radiological picture of left upper lobe opacification. She was treated with empirical anti tuberculosis treatment outside, no radiological improvement seen. After she reported here, she was evaluated with bronchoscopy with biopsy and bronchial wash culture showed Nocardia species. She was managed with trimethoprim-sulphamethoxazole and amikacin with regular follow up for 6 months. She had radiological resolution and clinical improvement after 4 months of treatment. Hence we made the diagnosis of this rare infection in immunocompetent individual and successfully treated her, which was mistreated as pulmonary tuberculosis elsewhere.\",\"PeriodicalId\":32890,\"journal\":{\"name\":\"Journal of Medical and Scientific Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical and Scientific Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17727/jmsr.2023/11-44\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical and Scientific Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17727/jmsr.2023/11-44","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A rare case report of pulmonary nocardiosis mimicking as lung malignancy
Pulmonary nocardiosis is a rare infectious disorder mainly affecting immunocompromised patients. It may remain cryptic which gradually progresses in its course. Our patient was a 37 years old immunocompetent female who presented with radiological picture of left upper lobe opacification. She was treated with empirical anti tuberculosis treatment outside, no radiological improvement seen. After she reported here, she was evaluated with bronchoscopy with biopsy and bronchial wash culture showed Nocardia species. She was managed with trimethoprim-sulphamethoxazole and amikacin with regular follow up for 6 months. She had radiological resolution and clinical improvement after 4 months of treatment. Hence we made the diagnosis of this rare infection in immunocompetent individual and successfully treated her, which was mistreated as pulmonary tuberculosis elsewhere.