CASE REPORT: PULMONARY NOCARDIOSIS IN THE SETTING OF OVERLAP SYNDROME AND HYPOTHYROIDISM: A CHALLENGING DIAGNOSIS

Jaydeep Raj Damor* and Juhi Bala Damor

ABSTRACT

Pulmonary nocardiosis is a type of necrotizing pneumonia that can manifest in sub-acute, chronic, or acute forms, particularly affecting immunocompromised individuals. It is caused by aerobic actinomycetes of the genus Nocardia. This report details a case involving a 50-year-old female with overlap syndrome (rheumatoid arthritis and polymyositis) and primary hypothyroidism, who had been on immunosuppressive therapy for five months. She presented with a sudden onset of cough, expectoration, shortness of breath, and fever over the past week. Diagnosis was confirmed through sputum microscopy, revealing filamentous gram-positive bacteria.

Keywords: .