A case of pulmonary nocardiosis

A 55-year-old female patient was first admitted to the Rheumatology Department of Cerrahpaþa Faculty of Medicine, where she got the diagnosis of Familial Mediterranean Fever (FMF) and was prescribed oral colchicine in 1984. She was admitted to the hospital with chronic coughing and fever, and Nocardia was detected in bronchial lavage fluid. The patient, who discontinued follow-up, was admitted to our clinic with dyspnea on exertion and fever. Sputum culture revealed Nocardia asteroides. Therapy was started, but the patient did not contiue regular treatment and follow-up. Her last CAT scan showed progression of the lesions. Nocardiosis is mentioned to occur concomitantly with diseases like bronchiectasis, chronic granulomatous disease, Cushing’s syndrome, systemic lupus erythematosus, Goodpasture’s syndrome, however our case is the first in literature to occur concurrently with FMF. and long-term colchicine treatment.