case_images: PMC6791275_01
case_images: Chest x-ray showing bilateral midzone and lower zone consolidation.
case_images: CRIID2019-5184386.001.jpg
case_images: PMC6791275_01_CRIID2019-5184386.001.jpg
case_images: fig1
case_images: Chest X-ray revealed bilateral midzone and lower zone consolidation (Figure 1).
case_images: Gram stain showing branching Gram-positive bacilli suggestive of Nocardia.
case_images: CRIID2019-5184386.002.jpg
case_images: PMC6791275_01_CRIID2019-5184386.002.jpg
case_images: fig2
case_images: The culture plates initially had scanty growth of normal flora, but on Gram stain there were few branching Gram-positive bacilli observed which was suggestive of Nocardia (Figure 2).
case_images: 1% acid-fast staining showing weakly acid-fast slender and filamentous bacilli conforming Nocardia.
case_images: CRIID2019-5184386.003.jpg
case_images: PMC6791275_01_CRIID2019-5184386.003.jpg
case_images: fig3
case_images: In view of this, modified acid-fast staining with 1% acid was performed on the smear, and it revealed plenty of weakly acid-fast branching slender and filamentous bacilli characteristic of Nocardia (Figure 3).
case_images: 5% sheep blood agar plate showing dry chalky white colonies of Nocardia.
case_images: CRIID2019-5184386.004.jpg
case_images: PMC6791275_01_CRIID2019-5184386.004.jpg
case_images: fig4
case_images: The culture media on further incubation of 72 hours yielded dry chalky white colonies (Figure 4).
case_images: PMC6791275_02
case_images: Chest x-ray showing bilateral midzone and lower zone consolidation more on the right side along with hyperlucency in the left upper zone due to left lower lobe lobectomy.
case_images: CRIID2019-5184386.005.jpg
case_images: PMC6791275_02_CRIID2019-5184386.005.jpg
case_images: fig5
case_images: Chest x-ray shows bilateral mid and lower zone consolidation, more on the right side along with compensatory hyperlucency in the left upper zone due to left lower lobe lobectomy (Figure 5).