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Disseminated Nocardiosis in an Immunocompetent Adult: Diagnostic Challenges

Nocardiosis is an opportunistic infection seen in people with impaired host defenses usually cell mediated immunity. It can involve a single organ or present as disseminated infection affecting multiple organ systems. We are reporting a case of 60 year old; an immunocompetent female presented with fever, cough, skin lesions and altered sensorium. Thorough systemic examination coupled with meticulous etiological work up including gram stain, acid fast staining and culture established the definite diagnosis of Nocardiosis. This case highlights the utility of clinical suspicion and early microbiological detection for diagnosing such uncommon condition presenting with common clinical symptoms and multisystem involvement in an immunocompetent patient .  J Microbiol Infect Dis 2019; 9(1): 46-50.