Abstract
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Highlights
A 28 year-old man was admitted to the hematology unit of a tertiary care hospital following an episode of hemoptysis and fever 170 days after an allogeneic bone marrow transplant
The organism was further identified as Nocardia asteroides
Whenever branching, beaded, filamentous Gram-positive rods are cultured under aerobic conditions, the possibility of infection with Nocardia species should be raised
Summary
A 28 year-old man was admitted to the hematology unit of a tertiary care hospital following an episode of hemoptysis and fever 170 days after an allogeneic bone marrow transplant. Total white blood count was 1.5×109/L, with hemoglobin 85 mg/L and platelets 14×109/L. A chest x-ray was performed and provisionally reported as normal. On review of the patient’s chest x-ray, a faint nodule in the right upper lobe was discerned, which in retrospect had been present for two weeks. After 72 h incubation, a blood culture from the original septic work-up yielded growth of a bacterial species
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