Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia

Nocardial infections in neonates are exceptionally rare, posing significant diagnostic challenges due to their atypical presentations and the rarity of such cases. This case report delves into a unique instance of nocardial pneumonia in a neonate, initially misdiagnosed due to its unconventional cli...

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Main Authors: Chandramouli Goswami, Anjan Kumar Dhua, Sandeep Agarwala, Devendra Kumar Yadav, Aruna Nambirajan, Devasenathipathy Kandasamy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-03-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jiaps.jiaps_121_24
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author Chandramouli Goswami
Anjan Kumar Dhua
Sandeep Agarwala
Devendra Kumar Yadav
Aruna Nambirajan
Devasenathipathy Kandasamy
author_facet Chandramouli Goswami
Anjan Kumar Dhua
Sandeep Agarwala
Devendra Kumar Yadav
Aruna Nambirajan
Devasenathipathy Kandasamy
author_sort Chandramouli Goswami
collection DOAJ
description Nocardial infections in neonates are exceptionally rare, posing significant diagnostic challenges due to their atypical presentations and the rarity of such cases. This case report delves into a unique instance of nocardial pneumonia in a neonate, initially misdiagnosed due to its unconventional clinical presentation and the absence of traditional risk factors for opportunistic infections. The neonate exhibited worsening respiratory distress, misleadingly suggestive of more common neonatal conditions or congenital anomalies such as an infected congenital pulmonary airway malformation, as per radiological imaging and initial clinical assessments. The diagnosis of nocardial pneumonia was eventually established on histopathology, highlighting the critical need for heightened clinical suspicion and consideration of uncommon etiologies in neonatal respiratory distress beyond the conventional differential diagnoses.
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institution OA Journals
issn 0971-9261
1998-3891
language English
publishDate 2025-03-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Association of Pediatric Surgeons
spelling doaj-art-55c3dd98a9bb4071b13c824abe5ef5e62025-08-20T02:09:47ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912025-03-0130222522810.4103/jiaps.jiaps_121_24Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial PneumoniaChandramouli GoswamiAnjan Kumar DhuaSandeep AgarwalaDevendra Kumar YadavAruna NambirajanDevasenathipathy KandasamyNocardial infections in neonates are exceptionally rare, posing significant diagnostic challenges due to their atypical presentations and the rarity of such cases. This case report delves into a unique instance of nocardial pneumonia in a neonate, initially misdiagnosed due to its unconventional clinical presentation and the absence of traditional risk factors for opportunistic infections. The neonate exhibited worsening respiratory distress, misleadingly suggestive of more common neonatal conditions or congenital anomalies such as an infected congenital pulmonary airway malformation, as per radiological imaging and initial clinical assessments. The diagnosis of nocardial pneumonia was eventually established on histopathology, highlighting the critical need for heightened clinical suspicion and consideration of uncommon etiologies in neonatal respiratory distress beyond the conventional differential diagnoses.https://journals.lww.com/10.4103/jiaps.jiaps_121_24congenital pulmonary airway malformationimmunocompetentlobectomynocardial pneumonia
spellingShingle Chandramouli Goswami
Anjan Kumar Dhua
Sandeep Agarwala
Devendra Kumar Yadav
Aruna Nambirajan
Devasenathipathy Kandasamy
Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
Journal of Indian Association of Pediatric Surgeons
congenital pulmonary airway malformation
immunocompetent
lobectomy
nocardial pneumonia
title Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
title_full Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
title_fullStr Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
title_full_unstemmed Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
title_short Unveiling the Unexpected: An Intriguing Case of Neonatal Nocardial Pneumonia
title_sort unveiling the unexpected an intriguing case of neonatal nocardial pneumonia
topic congenital pulmonary airway malformation
immunocompetent
lobectomy
nocardial pneumonia
url https://journals.lww.com/10.4103/jiaps.jiaps_121_24
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