Subacute pnumonia --> lung abcess (Page 1/2)
Prepared by...
Virat Sirisanthana, M.D.
Department of Pediatrics, Chiang Mai University
 
Chief Complaint: Prolonged fever and cough
History of Present Illness
  A 6 year-old boy had a 2-month-history of  fever and cough. He was diagnosed as
HIV-infected (Category C)  boy due to this chronic illness. His serial  chest radiographs are
shown below:
 
CXR1-nocardia-before-Rx.jpg (37756 bytes) CXR3-nocardia-before-Rx.jpg (35313 bytes)
Early
Before lung aspiration
 
Needle aspiration was done under ultrasound (with the curtesy of  Dr. Chusuk Sirivanish., Radiology department): The specimen was smear and stained. Below:
 

norca-gram-pus-2-sm-arrow.jpg (6491 bytes)

AF-branching-nocardia-2.jpg (40449 bytes)

Gram stain 1000X
modified AFB stain 1000X
 
What is your Diagnosis?  Click Here

___________________________