Pulmonary Nocardiosis in an Immunocompetent Patient: - A Rare Case Report from A Tertiary Care Hospital in Tripura

Nocardiosis has become a recent emerging pathogen in the backdrop of increasing number of immuno-compromised patients, but it’s diagnosis cannot be overlooked in immunocompetent patients. We represented a case of 67 year old non diabetic non hypertensive female who was suffering from fever with chills, cough, exertional dyspnea, loss of weight for 2 months who was misdiagnosed as a case of presumptive pulmonary tuberculosis and was treated with Cat-I anti-TB drugs. Later when symptoms worsen, a thorough microbiological investigation was done for both aerobic, anaerobic bacteria and multidrug resistant mycobacteria and Nocerdia spp was diagnosed.