Abstract
We experienced a rare case of pulmonary nocardiosis in a 24-year-old female patient with Hodgkin's disease after allogenic peripheral blood stem cell transplantation. The lesions presented as bilateral pulmonary infiltrations on chest radiographs. The Nocardia bacilli were identified in cytological smears of bronchoalveolar lavage fluid obtained from the left lingual lesion. The patient responded well to trimephoprim-sulfamethoxazole (TMP/SMX) and the lesions resolved 19 days after treatment. A high index of suspicion is mandatory for an early diagnosis.
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