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Endobronchial Pulmonary Nocardiosis

Joseph Q. Henkle, MD; S. Vijayachandran Nair, MD
JAMA. 1986;256(10):1331-1332. doi:10.1001/jama.1986.03380100105030.
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PULMONARY nocardiosis presents with a highly variable clinical and roentgenographic picture that can often mimic granulomatous disease or neoplasm.1-4 A review of the literature describes only one previous report of pulmonary nocardial infection with an associated endobronchial mass.5 We report the second case, to our knowledge, of this unusual manifestation of pulmonary nocardiosis.

Report of a Case  A 56-year-old man saw his local physician on Aug 28, 1984, for malaise, cough productive of small amounts of sputum, and occasional night sweats of several days' duration. He denied fever, chills, recent weight loss, chest pain, hemoptysis, joint pains, headache, or skin lesions. Several days prior to the onset of his symptoms, he experienced significant dust exposure while raking his yard. There was no prior history of pulmonary illness. The patient had lived in Arizona for six years in an area endemic for coccidioidomycosis. He had a 20 pack-year history


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