Journal of Postgraduate Medicine
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 CASE REPORT
Year : 2001  |  Volume : 47  |  Issue : 1  |  Page : 30-2

Pulmonary nocardiosis in human immunodeficiency virus infection: a tuberculosis mimic.


Department of Medicine and Respiratory Medicine, Christian Medical College and Hospital, Vellore - 632 004, Tamilnadu, India. , India

Correspondence Address:
H S Subhash
Department of Medicine and Respiratory Medicine, Christian Medical College and Hospital, Vellore - 632 004, Tamilnadu, India.
India
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Source of Support: None, Conflict of Interest: None


PMID: 11590288

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Patients with human immunodeficiency virus (HIV) infection are prone to develop pulmonary infections like nocardiosis. It is often misdiagnosed as pulmonary tuberculosis since the manifestations are similar. A twenty-seven years old male presented with fever, cough with expectoration and weight loss for two months. Chest radiograph showed opacity in the right mid zones. Sputum smears were negative for acid fast bacilli (AFB) and revealed gram positive branching filamentous organisms resembling Nocardia species. Subsequently, Nocardia was grown on sputum culture. HIV antibody was positive by ELISA test. He was treated with co-trimoxazole. If sputum is repeatedly tested negative for AFB in the setting of radiological suspicion of tuberculosis, testing for Nocardia species should be considered in the HIV-infected patients.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow