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

Abstract

A renal transplant recipient in India receiving trimethoprim/sulfamethoxazole prophylaxis experienced fever, hemoptysis, and neurologic deficits. The diagnosis was pulmonary aspergillosis and disseminated nocardiosis caused by trimethoprim/sulfamethoxazole–resistant Nocardia. Antimicrobial drug therapy led to complete clinical and radiological resolution after 6 months. This case highlights a resistant breakthrough Nocardia pathogen in a transplant recipient.

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BibTeX RIS

BibTeX

@article{kordcal2026disseminated,
  title = {{Disseminated Trimethoprim/Sulfamethoxazole–Resistant Nocardiosis in Renal Transplant Recipient, India}},
  author = {Sandeep Rao Kordcal and Md Tariq Maula and Vivek Malleshappa Suguna and Adil Rashid Khan and Rahul Ranjan and Stanzin Spalkit and Aruna Nambirajan and Gagandeep Singh and Neeraj Nischal and Immaculata Xess and Manish Soneja},
  journal = {Emerging Infectious Diseases},
  year = {2026},
  month = oct,
  doi = {10.3201/eid3211.260963},
  url = {https://doi.org/10.3201/eid3211.260963},
  note = {CC BY 4.0},
}

RIS

TY  - JOUR
TI  - Disseminated Trimethoprim/Sulfamethoxazole–Resistant Nocardiosis in Renal Transplant Recipient, India
AU  - Sandeep Rao Kordcal
AU  - Md Tariq Maula
AU  - Vivek Malleshappa Suguna
AU  - Adil Rashid Khan
AU  - Rahul Ranjan
AU  - Stanzin Spalkit
AU  - Aruna Nambirajan
AU  - Gagandeep Singh
AU  - Neeraj Nischal
AU  - Immaculata Xess
AU  - Manish Soneja
PY  - 2026
DA  - 2026/10/30
JO  - Emerging Infectious Diseases
DO  - 10.3201/eid3211.260963
UR  - https://doi.org/10.3201/eid3211.260963
AB  - A renal transplant recipient in India receiving trimethoprim/sulfamethoxazole prophylaxis experienced fever, hemoptysis, and neurologic deficits. The diagnosis was pulmonary aspergillosis and disseminated nocardiosis caused by trimethoprim/sulfamethoxazole–resistant Nocardia. Antimicrobial drug therapy led to complete clinical and radiological resolution after 6 months. This case highlights a resistant breakthrough Nocardia pathogen in a transplant recipient.
SN  - 1080-6040
SN  - 1080-6059
ER  -

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