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Volume 32, Number 11—November 2026

Research Letter

Disseminated Trimethoprim/Sulfamethoxazole–Resistant Nocardiosis in Renal Transplant Recipient, India

Sandeep Rao Kordcal, Md Tariq Maula, Vivek Malleshappa Suguna, Adil Rashid Khan, Rahul Ranjan, Stanzin Spalkit, Aruna Nambirajan, Gagandeep Singh, Neeraj Nischal, Immaculata Xess, and Manish SonejaComments to Author 
Author affiliation: All India Institute of Medical Sciences, New Delhi, India

Main Article

Figure 1

Histopathologic and radiologic findings in renal transplant recipient with disseminated trimethoprim/sulfamethoxazole–resistant nocardiosis, India. A) High-resolution computed tomography of the chest before treatment, showing right-upper-lobe consolidation with adjacent passive atelectasis and a left pleural effusion. B) Lung biopsy, Fite stained, showing weakly acid-fast, branching, beaded filamentous bacteria (circle). Original magnification ×1,000. C) Lung biopsy, hematoxylin and eosin stained, showing suppurative inflammation (arrows). Original magnification ×400. D) High-resolution computed tomography of the chest 6 months after treatment, showing resolution of the consolidation with residual pulmonary fibrosis.

Figure 1. Histopathologic and radiologic findings in renal transplant recipient with disseminated trimethoprim/sulfamethoxazole–resistant nocardiosis, India. A) High-resolution computed tomography of the chest before treatment, showing right-upper-lobe consolidation with adjacent passive atelectasis and a left pleural effusion. B) Lung biopsy, Fite stained, showing weakly acid-fast, branching, beaded filamentous bacteria (circle). Original magnification ×1,000. C) Lung biopsy, hematoxylin and eosin stained, showing suppurative inflammation (arrows). Original magnification ×400. D) High-resolution computed tomography of the chest 6 months after treatment, showing resolution of the consolidation with residual pulmonary fibrosis.

Main Article

Page created: September 11, 2026
Page updated: October 15, 2026
Page reviewed: October 15, 2026
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