PMC6791275_01
Chest x-ray showing bilateral midzone and lower zone consolidation.
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fig1
Chest X-ray revealed bilateral midzone and lower zone consolidation (Figure 1).
Gram stain showing branching Gram-positive bacilli suggestive of Nocardia.
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fig2
The culture plates initially had scanty growth of normal flora, but on Gram stain there were few branching Gram-positive bacilli observed which was suggestive of Nocardia (Figure 2).
1% acid-fast staining showing weakly acid-fast slender and filamentous bacilli conforming Nocardia.
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fig3
In view of this, modified acid-fast staining with 1% acid was performed on the smear, and it revealed plenty of weakly acid-fast branching slender and filamentous bacilli characteristic of Nocardia (Figure 3).
5% sheep blood agar plate showing dry chalky white colonies of Nocardia.
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fig4
The culture media on further incubation of 72 hours yielded dry chalky white colonies (Figure 4).
PMC6791275_02
Chest x-ray showing bilateral midzone and lower zone consolidation more on the right side along with hyperlucency in the left upper zone due to left lower lobe lobectomy.
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fig5
Chest x-ray shows bilateral mid and lower zone consolidation, more on the right side along with compensatory hyperlucency in the left upper zone due to left lower lobe lobectomy (Figure 5).