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Indian J Med Microbiol. 2008 Oct-Dec;26(4):380-2.

Cytological diagnosis of pulmonary nocardiosis in an immunocompromised patient.

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Department of Microbiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.


We report a case of pulmonary nocardiosis in an immunosuppressed patient having vasculitis who presented with fever, cough and chest pain. A suspicion of nocardiosis was made on auramine O staining of material procured by CT guided fine needle aspiration cytology right lung. Modified Ziehl-Neelsen staining was useful in confirming the diagnosis. The patient showed remarkable recovery after treatment with co-trimoxazole. Quick identification of this uncommon pathogen in the cytological material using special stains helped in timely diagnosis and successful treatment of the patient.

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