Case report of pulmonary nocardiosis in a patient of right renal transplantation

Nocardiosis results from infection with bacteria of genus Nocardia, which are saprophytic aerobic actinomycetes that commonly reside in soil relatively and inactive on standard biochemical tests. Pulmonary systemic nocardiosis is common adult males, almost all being sporadic, tuberculosis endemic regions usually seen individuals deficient cell mediated immunity. It may present as pneumonia, empyema, pericarditis, mediastinitis, laryngitis, peritonitis, meningitis. Diagnosed sputum or pus for branching beaded gram positive filaments 1 micron meter wide 50 long. A male immunocompromised patient presented respiratory symptoms. Patient was evaluated elsewhere received multiple courses antibiotics. On admission our facility HRCT thorax followed by fibre optic bronchoscopy done. Bronchoalveolar lavage sent microbiological analysis. Acid-fast kinyoun Ziehl Neelsen stain came Nocardia managed trimethoprim- sulfamethoxazole the treatment choice.