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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
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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Date published: 2016-12-21
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