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Pulmonary nocardiosis caused by Nocardia otitidiscaviarum in an adult asthmatic female patient: The presence of acid-fast branching filaments is always significant

A Mahgoub, S A Gumaa, M R P Joseph, M S Saleh, A H A Elsheikh, A I Elkhalifa, E Elhaj, R R M Salih, M E Hamid

Abstract


We report a case of pulmonary nocardiosis in a 41-year-old asthma patient. Chest radiographs showed bilateral air space and consolidations.
Acid-fast branching filaments were demonstrated in sputum, and the grown organism was identified phenotypically and confirmed using
16S rDNA sequencing (accession no. KX500116). The patient received a combination of medical treatments, but developed complications,
which were managed over the next 3 months, after which she was discharged. Pulmonary nocardiosis should be considered in patients
undergoing steroid therapy or when a chronic infection does not respond to first-line treatment.


Authors' affiliations

A Mahgoub, Department of Preventive Medicine, Faculty of Veterinary Medicine, University of Khartoum, Sudan

S A Gumaa, Department of Microbiology, Royale Care International Hospital, Khartoum, Sudan

M R P Joseph, Department of Microbiology, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia

M S Saleh, Department of Microbiology, Faculty of Medical Laboratory Science, Omdurman Islamic University, Omdurman, Sudan

A H A Elsheikh, Department of Microbiology, Royale Care International Hospital, Khartoum, Sudan

A I Elkhalifa, Department of Microbiology, Royale Care International Hospital, Khartoum, Sudan

E Elhaj, Department of Medicine, Royale Care International Hospital, Khartoum, Sudan

R R M Salih, Department of Clinical Medicine, Faculty of Veterinary Medicine, University of Khartoum, Sudan

M E Hamid, Department of Microbiology, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia

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Keywords

Pulmonary nocardiosis; Nocardia otitidiscaviarum; Adult asthmatic female; Acid-fast branching filaments

Cite this article

South African Medical Journal 2017;107(1):43-45. DOI:10.7196/SAMJ.2017.v107i1.12006

Article History

Date submitted: 2016-12-21
Date published: 2016-12-21

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