PMC4840429_01
Chest X-ray showing sclerosis and multiple nodules with cavitations in upper and medium lung zones bilaterally.
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The chest X-ray showed, bilaterally in the apical and subclavian regions, sclerosis and multiple nodules with cavitations (Fig. 1).
Chest HRCT scan showing multiple nodular lesions with cavitations in upper lung zone bilaterally.
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These findings are consistent with chronic TB" (Fig. 2).
Kinyoun-stained sputum sample showing filamentous, slim, branched (mycelium and hyphae), blue-to-fuchsia colored (acid-alcohol variable) elements.
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Tube) were then prepared. The microscopic examination showed filamentous, slim, branched (mycelium and hyphae), blue-to-fuchsia colored (acid-alcohol variable) elements (Fig. 3).
Sputum culture on blood agar showing wrinkled chalky white or cream-to-pink colored colonies.
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Nocardia spp. was suspected and confirmed by Gram staining (not shown) and blood agar culture (Fig. 4).
Sputum culture on Lowenstein-Jensen showing wet salmon-to-yellow colored colonies.
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Culture on Lowenstein-Jensen medium is showed in Fig. 5.