n South African Journal of Surgery - Disseminated nocardiosis masquerading as abdominal tuberculosis : case report

Volume 42, Issue 1
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151



A 32-year-old patient was admitted with a communityacquired pneumonia. She had clinical evidence of AIDS and chest X-ray features consistent with pulmonary tuberculosis. While in the ward she developed an acute abdomen necessitating laparotomy, at which a diagnosis of abdominal tuberculosis was made. Sputum and intraoperative pus specimens grew a multiresistant <I>Nocardia brasiliensis</I>. Microbiological investigations for tuberculosis were negative. The patient died after a short ICU admission from multiple organ dysfunction syndrome.

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