Pulmonary nocardiosis and influenza A in an immunocompetent patient: a true diagnostic challenge
DOI:
https://doi.org/10.32818/reccmi.a10n3a11Keywords:
nocardia, influenza, immunocompetentAbstract
Pulmonary nocardiosis is a rare opportunistic bacterial infection in immunocompetent patients that presents with nonspecific respiratory symptoms and radiological findings. Infection with the influenza A virus can promote infection by nocardia. The diagnosis requires high clinical suspicion and microbiological confirmation since the first-line treatment adjusted according to susceptibility is trimethoprim-sulfamethoxazole for 6–12 months to prevent relapse. We present the case of an 82-year-old woman with no history of pulmonary disease or immunodeficiency who arrived to the emergency department with dyspnea and dry cough as a manifestation of pulmonary infection by Nocardia cyriacigeorgica associated with influenza A infection.
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Copyright (c) 2025 Roger Malo-Barres, Jessica Gálvez-López, Anna Vidal-García

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