Co-existence of nocardiosis with pulmonary aspergillosis in a single patient

AbstrAct Introduction: Nocardia and Aspergillus are important causes of opportunistic infections in immunocompromised individuals. An aggressive workup is essential since these infections are remediable but potentially mortal. case report: We describe a case of a 50-year-old diabetic female with pulmonary aspergillosis who presented with cough and breathlessness for one and ahalf months. she was given steroids and itraconazole for the same but there was no relief. Later on, bronchoalveolar lavage on Kinyoun stain showed Nocardia. conclusion: this case highlights the importance to look for other causes as well in patients with pulmonary aspergillosis not responding to treatment since delay in diagnosis can be fatal for the patient