Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand
Nocardiosis is a rare bacterial infection that may lead to a severe disease. These infections are rare among normal population and are showing an increasing trend worldwide attributable to the increase in the immunosuppressed population. Most of these patients present with nonspecific clinical featu...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2020/6874625 |
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| author | Aroop Mohanty Suneeta Meena Subodh Pandey Kumar Puneet Kumar Gupta Neelam Kaistha Pratima Gupta Mithilesh Kumar Jha Sasi Rekha |
| author_facet | Aroop Mohanty Suneeta Meena Subodh Pandey Kumar Puneet Kumar Gupta Neelam Kaistha Pratima Gupta Mithilesh Kumar Jha Sasi Rekha |
| author_sort | Aroop Mohanty |
| collection | DOAJ |
| description | Nocardiosis is a rare bacterial infection that may lead to a severe disease. These infections are rare among normal population and are showing an increasing trend worldwide attributable to the increase in the immunosuppressed population. Most of these patients present with nonspecific clinical features such as fever, productive cough, and exertional dyspnoea as seen in our series of patients which makes it difficult to be diagnosed. Pulmonary nocardiosis is rarely clinically suspected and often diagnosed very late in the course of disease resulting in high mortality. A similar observation was made in one of our cases where the patient was being treated on the lines of pneumonia, and in the end she was diagnosed with pulmonary nocardiosis. In view of the limited literature available, we report here a case series of pulmonary nocardiosis in immunosuppressed patients diagnosed incidentally by fungal KOH mount. The most common conditions causing immunosuppression were type II DM, COPD, and pulmonary tuberculosis. |
| format | Article |
| id | doaj-art-c046f4f8f0b54618be8d5614e493bdd7 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-c046f4f8f0b54618be8d5614e493bdd72025-02-03T06:43:39ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/68746256874625Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in UttarakhandAroop Mohanty0Suneeta Meena1Subodh Pandey Kumar2Puneet Kumar Gupta3Neelam Kaistha4Pratima Gupta5Mithilesh Kumar Jha6Sasi Rekha7Department of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Emergency Medicine, Rishikesh, Uttarakhand, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, IndiaNocardiosis is a rare bacterial infection that may lead to a severe disease. These infections are rare among normal population and are showing an increasing trend worldwide attributable to the increase in the immunosuppressed population. Most of these patients present with nonspecific clinical features such as fever, productive cough, and exertional dyspnoea as seen in our series of patients which makes it difficult to be diagnosed. Pulmonary nocardiosis is rarely clinically suspected and often diagnosed very late in the course of disease resulting in high mortality. A similar observation was made in one of our cases where the patient was being treated on the lines of pneumonia, and in the end she was diagnosed with pulmonary nocardiosis. In view of the limited literature available, we report here a case series of pulmonary nocardiosis in immunosuppressed patients diagnosed incidentally by fungal KOH mount. The most common conditions causing immunosuppression were type II DM, COPD, and pulmonary tuberculosis.http://dx.doi.org/10.1155/2020/6874625 |
| spellingShingle | Aroop Mohanty Suneeta Meena Subodh Pandey Kumar Puneet Kumar Gupta Neelam Kaistha Pratima Gupta Mithilesh Kumar Jha Sasi Rekha Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand Case Reports in Infectious Diseases |
| title | Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand |
| title_full | Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand |
| title_fullStr | Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand |
| title_full_unstemmed | Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand |
| title_short | Incidental Finding of Nocardia: A Case Series from a Tertiary Care Centre in Uttarakhand |
| title_sort | incidental finding of nocardia a case series from a tertiary care centre in uttarakhand |
| url | http://dx.doi.org/10.1155/2020/6874625 |
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