Caused by Nocardia( gram + ve partially acid, branching rods)
Symptoms:
presents with
CNS
Pulmonary(inhalation): subacute pneumonia, empyema(1/3rd)
Cutaneous manifestation
50% extra pulmonary dissemination ( brain most common)
Immunocompromised people increased risk of pulmonary and disseminated disease
Diagnosis:
Gram stain: gram +ve partially acid fast branching filaments
Treatment:
First line TMP-SMX
Minocycline
