Primary abdominal nocardiosis masquerading as tubercular pelvic inflammatory disease in an immunocompetent individual.
We report the case of a 30-year-old housewife who presented with fever and lower abdominal pain, and was diagnosed with an adnexal collection. Initial evaluation was suggestive of tubercular pelvic inflammatory disease (PID). Subsequently, from a culture of pus aspirated from the collection grew out Nocardia species. She was treated with amikacin and cotrimoxazole and made a complete recovery. Clinical and laboratory evaluation for immunosuppression was negative. Primary abdominal nocardiosis is an unusual cause for PID and an important differential diagnosis for tuberculosis.
Department of Medicine,  Kasturba Medical College, Manipal, Karnataka,  India.
Kushal
K
Naha
Sowjanya
S
Dasari
G
G
Vivek
Mukhyaprana
M
Prabhu
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007121:Immunocompetence; D009615:Nocardia; D009617:Nocardia Infections / Q000150:complications* / Q000175:diagnosis*; D000292:Pelvic Inflammatory Disease / Q000382:microbiology*; D014376:Tuberculosis / Q000175:diagnosis*