Louis Chhor, Reditta Soraya Tumali, Caroline Östberg, Andrew Macdonald, Christine Wade

An unexpected case of broncholithiasis secondary to pulmonary nocardiosis

  • Pulmonary and Respiratory Medicine

Key messagePersistent productive cough despite appropriate treatment warrants consideration of flexible bronchoscopy to obtain bronchial specimens for culture. Endobronchial examination of airways may reveal signs of infection in the form of purulent secretions, sputum plugs or in this case, an unexpected finding of a calcified broncholithiasis secondary to Nocardia infection.

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