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Nocardia beijingensis lung mass in an immunocompetent adult
  1. Rasha Raslan1,
  2. Pamela Bailey2 and
  3. Sangeeta Sastry2
  1. 1Internal Medicine, Virginia Commonwealth University, Richmond, Virginia, USA
  2. 2Department of Infectious Disease, Virginia Commonwealth University, Richmond, Virginia, USA
  1. Correspondence to Dr Rasha Raslan; rasha.raslan{at}vcuhealth.org

Abstract

A 47-year-old man was referred for ongoing workup of an enlarging lung mass. Extensive workup of the mass had been unrevealing for several months until cultures grew Nocardia beijingensis. He was successfully treated with trimethoprim/sulfamethoxazole and then doxycycline with near-complete resolution of the mass on follow-up. This case presents a rare species of N. beijingensis. It highlights the importance of considering nocardiosis in immunocompetent adults and the challenge in initiating targeted treatment due to delayed culture results.

  • infections
  • pneumonia (infectious disease)
  • TB and other respiratory infections

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Footnotes

  • Contributors RR performed the literature search and wrote the manuscript. PB and SS helped to write the paper and reviewed the manuscript for critical content. All authors gave final approval of the version to be published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.