BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0233
  • Reminder of important clinical lesson

Pulmonary nocardiosis mimicking relapse of tuberculosis

  1. Sajal De1,
  2. Prabha Desikan2
  1. 1
    Bhopal Memorial Hospital & Research Centre, Pulmonary Medicine, Raisen Bye Pass Road, Karond Chowk, Bhopal, 462038, India
  2. 2
    Bhopal Memorial Hospital & Research Centre, Dept of Microbiology, Raisen Bye Pass Road, Bhopal, 462038, India
  1. Sajal De, sajalde{at}
  • Published 14 April 2009


The present report concerns a case of pulmonary nocardiosis in an immunocompetent host. This patient was diagnosed as having smear positive pulmonary tuberculosis and received supervised antitubercular treatment for 6 months from a government run tuberculosis centre (Directly Observed Therapy, Short-Course (DOTS) centre). At 3 months after completion of treatment, she presented with fever and cough with posterior–anterior (PA) view chest x ray showing a cavitary lesion on left upper zone. She was subsequently diagnosed as having a case of pulmonary nocardiosis and responded to oral cotrimoxazole.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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