Nocardiosis is an infrequent infection that is often misdiagnosed or under-diagnosed because of its nonspecific clinical picture and infrequent occurrence. Speciation of nocardiae is of clinical importance because of the differences in antibiotic susceptibility patterns and virulence among the species. High level of clinical suspicion and alertness on the part of the laboratory are often required to diagnose these infections. Cases have been reported from other parts of the country, but these are the first series of documented cases from Central Kerala.
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