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Case Report
 
Co-existence of nocardiosis with pulmonary aspergillosis in a single patient
Gunjan Garg1, Pratyush Miglani2, Ambuj Garg3, Agarwal PK4
1MBBS, Post Graduate Student (Internal Medicine), Department of Internal Medicine, Sir Ganga Ram Hospital, New Delhi, Delhi, India.
2MBBS, MD, Senior Resident, Department of Internal Medicine, Sir Ganga Ram Hospital, New Delhi, Delhi, India.
3MBBS, DNB, Associate Consultant, Department of Internal Medicine, Sir Ganga Ram Hospital, New Delhi, Delhi, India.
4MBBS, MD, Senior consultant, Department of Internal Medicine, Sir Ganga Ram Hospital, New Delhi, Delhi, India.

Article ID: 100001M05GG2014
doi:10.5348/M05-2014-1-CR-1

Address correspondence to:
Dr. Gunjan Garg
Room No. 1407, 4th Floor, Department of Medicine, Sir Ganga Ram Hospital
Old Rajinder Nagar, New Delhi
Delhi-110060
India
Phone: +918130806986
Email: gunjangarg88@yahoo.co.in

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How to cite this article
Garg G, Miglani P, Garg A, Agarwal PK. Co-existence of nocardiosis with pulmonary aspergillosis in a single patient. Edorium J Med 2014;1:1–3.


Abstract
Introduction: Nocardia and Aspergillus are important causes of opportunistic infections in immunocompromised individuals. An aggressive workup is essential since these infections are remediable but potentially mortal.
Case Report: We describe a case of a 50-year-old diabetic female with pulmonary aspergillosis who presented with cough and breathlessness for one and ahalf months. She was given steroids and itraconazole for the same but there was no relief. Later on, Bronchoalveolar lavage on Kinyoun stain showed Nocardia.
Conclusion: This case highlights the importance to look for other causes as well in patients with pulmonary aspergillosis not responding to treatment since delay in diagnosis can be fatal for the patient.

Keywords: Aspergillus, Nocardia, Diabetes mellitus, Tuberculosis


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Author Contributions
Gunjan Garg – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pratyush Miglani – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ambuj Garg – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Agarwal PK – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Gunjan Garg et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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