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Disseminated Nocardiosis Mimicking Tuberculosis in a Patient With Acquired Immunodeficiency Syndrome

Shah, Vipul V. MD*; Toshniwal, Harsh K. MD*; Shah, Bhavini S. PhD

Infectious Diseases in Clinical Practice: May 2012 - Volume 20 - Issue 3 - p 221–223
doi: 10.1097/IPC.0b013e318245d60c
Case Reports

Nocardiosis is often misdiagnosed and treated wrongly as tuberculosis in immunocompromised patients especially when initial presentation is pulmonary. It is because nocardiosis mimics pulmonary tuberculosis clinically as well as radiologically. Result from chest radiography is never the final diagnostic criteria for either of the conditions. Microbiological diagnosis is very important. Here, we describe the case of a patient with human immunodeficiency virus infection who was misdiagnosed and was treated primarily as tuberculosis. When the patient presented to us, his conditioned was diagnosed as disseminated nocardiosis, which was treated successfully.

From the *Shrey Hospital; and †Supratech Micropath Laboratory and Research Institute, Ahmedabad, India.

Correspondence to: Vipul V. Shah, MD, Shrey Hospital, Nr. AMCO Bank, Stadium Circle, Navarangpura, Ahmedabad-380009, India. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.