Disseminated infection with Nocardia otitidiscaviarum in a patient under steroid therapy

• Published in: Clinical case reports Vol. 8; no. 2; pp. 369 - 373
• Main Authors: Sah, Ranjit, Khadka, Shusila, Neupane, Samikshya, Nepal, Gaurav, Singla, Sonam, Kumari, Pankhuri, Sah, Sanjit, Sah, Ranjana, Sah, Shyam Sundar, Adhikari, Mahesh, Shah, Niranjan Prasad, Pokharel, Bharat Mani, Rijal, Basista, Shah, Dibya Singh
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.02.2020; John Wiley and Sons Inc; Wiley
• Subjects: Abdomen; Acids; Bacteria; Bacterial infections; Blood; Case Report; Case Reports; Fever; Hepatitis; Identification; Infections; Kidney diseases; Laboratories; nephrotic syndrome; Nocardia otitidiscaviarum; Pathogens; Patients; pulmonary nocardiosis; Stains & staining; steroid therapy; subcutaneous abscess; Tuberculosis; Nepal; pulmonary nocardiosis; steroid therapy; Nocardia otitidiscaviarum; subcutaneous abscess; nephrotic syndrome
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.2640

Key Clinical Message Corticosteroid recipients with lung infections should be suspected of having nocardiosis; however, nocardiosis can easily mimic malignancy, tuberculosis, or fungal infection. Though cultural identification is possible, it might be missed due to its slow growth pattern.. Therefore, if filamentous bacteria are seen during staining, plate incubation time should be extended. Corticosteroid recipients with lung infections should be suspected of having nocardiosis; however, nocardiosis can easily mimic malignancy, tuberculosis, or fungal infection. Though cultural identification is possible, it might be missed due to its slow growth pattern.. Therefore, if filamentous bacteria are seen during staining, plate incubation time should be extended.