Pulmonary infection * Produces a virulent form of pneumonia (progressive) * Night sweats, fever, cough, chest pain * Pulmonary<unk>  is subacute in onset and refractory to treatment with standard antibiotics * Symptoms are more severe in immunocompromised individuals * Radiologic studies show multiple pulmonary infiltrates, with a tendency to central necrosis Neurological infection * Headache, lethargy, confusion, seizures, sudden onset of neurological deficit * CT scan shows cerebral abscess * Nocardial meningitis is difficult to diagnose Cardiac conditions * Nocardia has been highly linked to endocarditis as a main manifestation * In recorded cases, it has caused damage to heart valves whether natural or prosthetic Lymphocutaneous disease * Nocardial cellulitis is akin to erysipelas but is less acute * Nodular lymphangeitis mimics sporotrichosis with multiple nodules alongside a lymphatic pathway * Chronic subcutaneous infection is a rare complication and osteitis may ensue * May be misidentified and treated as a staph infection, specifically superficial skin infections * Cultures must incubate more than 48 hours to guarantee an accurate test Ocular disease * Very rarely, nocardiae cause keratitis * Generally there is a history of ocular trauma Disseminated<unk>  * Dissemination occurs through the spreading enzymes possessed by the bacteria * Disseminated infection can occur in very immunocompromised patients * It generally involves both lungs and brain * Fever, moderate or very high can be seen * Multiple cavitating pulmonary infiltrates develop * Cerebral abscesses arise later * Cutaneous lesions are very rarely seen * If untreated, the prognosis is poor for this form of disease
Nocardiosis
Sporotrichosis
Tuberculosis
Infective endocarditis
Sycosis
Kyphosis 
Kyphosis
Loeffler endocarditis