Unfolding of a Clinically Suspected Case of Pulmonary Tuberculosis DD01-DD03
Dr. Swapna Muthusamy,
Assistant Professor, Department of Microbiology, Sri Venkateshwaraa Medical College Hospital and Research Centre,
Pulmonary nocardiosis caused by Nocardia mimics pulmonary tuberculosis in many aspects. Here, we report a case of suspected pulmonary tuberculosis turning into pulmonary nocardiosis following microbiological evaluation. Sputum sample of the patient grew Nocardia otitidiscaviarum. Identification was done by conventional methods and matrix assisted laser desorption ionization-time of flight. He was given co-trimoxazole based on susceptibility reports. Even though Nocardia is a rare entity, pulmonary nocardiosis should be ruled out before starting antitubercular treatment to avoid unnecessary burden to the patient and community.