Primary abdominal nocardiosis masquerading as tubercular pelvic inflammatory disease in an immunocompetent individual.

Abstract

We report the case of a 30-year-old housewife who presented with fever and lower abdominal pain, and was diagnosed with an adnexal collection. Initial evaluation was suggestive of tubercular pelvic inflammatory disease (PID). Subsequently, from a culture of pus aspirated from the collection grew out Nocardia species. She was treated with amikacin and cotrimoxazole and made a complete recovery. Clinical and laboratory evaluation for immunosuppression was negative. Primary abdominal nocardiosis is an unusual cause for PID and an important differential diagnosis for tuberculosis.

• Authors: Kushal Naha, Sowjanya Dasari, G Vivek, Mukhyaprana Prabhu
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2013 (Jan 25 2013) ISSN: 1757-790X [Electronic] England
• PMID: 23355581 (Publication Type: Case Reports, Journal Article)

Topics

• Abdominal Pain (etiology)
• Adult
• Diagnosis, Differential
• Female
• Fever (etiology)
• Humans
• Immunocompetence
• Nocardia
• Nocardia Infections (complications, diagnosis)
• Pelvic Inflammatory Disease (microbiology)
• Tuberculosis (diagnosis)