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Unusual presentation of Nocardia abscessus infection in an immunocompetent patient
Akshay Khatri1, Michael J Esposito2, Robin Koshy3
1Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine / Jackson Health System, Miami, FL, USA.
Introduction:
Nocardia infections are being increasingly reported in both immunocompetent and immunocompromised patients. We describe a case of Nocardia abscessus infection with an atypical presentation in an immunocompetent patient.
Case Presentation:
A previously healthy 47-year-old gentleman presented with hiccups and paroxysmal spasms. Imaging revealed a pulmonary nodule, for which he underwent surgical resection. Pathologic evaluation demonstrated evidence of local inflammation, with growth of Nocardia abscessus on tissue cultures.
Conclusion:
Nocardia abscessus may have atypical presentations in immunocompetent patients. Further research is needed to understand the factors leading to Nocardia infections in immunocompetent patients.
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