Pulmonary nocardiosis with a rare association of syndrome of inappropriate antidiuretic hormone secretion (SIADH) in an immunocompetent male.

• Main Authors: Vinathi Paritala, Narendra Kumar Narahari, Phani Chakravarty Mutnuru, Sudhir Kumar Vujhini, Mohammed Ismail Nizami
• Format: Article
• Language: English
• Published: Deccan College of Medical Sciences 2016-07-01
• Series: Journal of Medical and Allied Sciences
• Subjects: Filamentous bacilli; Hyponatremia; Immunocompetent host; Pulmonary nocardiosis; Syndrome of inappropriate antidiuretic hormone (SIADH); Trimethoprim - Sulfamethoxazole (TMP-SMX)
• Online Access: http://www.scopemed.org/fulltextpdf.php?mno=230144

Pulmonary nocardiosis and syndrome of inappropriate antidiuretic hormone secretion (SIADH) is an interesting association that has been rarely described in the literature. SIADH may be the initial sign of central nervous system progression. Here we present one such rare association of pulmonary nocardiosis and SIADH in an immunocompetent male, successfully managed with treatment of underlying disease and fluid restriction. High index of clinical suspicion even in immunocompetant hosts and effective management of associated complications is essential for successful outcomes. [J Med Allied Sci 2016; 6(2.000): 87-91]