DOI: 10.36347/sjmcr.2016.v04i06.017

Pages: 420-422

A case of chronic deteriorating chest infection was misdiagnosed as pulmonary tuberculosis, treated for more than 15 months with very slow response. Later the diagnosis was reviewed and decision of interstitial lung disease was suggested and patient was put on long term steroid therapy. Nocardial pulmonary infection was suspected and diagnosis was confirmed by direct sputum examination, culture and sensitivity testing and the patient responded well to treatment.