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

An interesting case of characteristic methanol toxicity through inhalational exposure

Methanol poisoning is rare but carries high risk of morbidity and mortality. Most of the cases witnessed in emergency are due to consumption of adulterated alcohol. Here we are reporting a very rare case of methanol poisoning through inhalational exposure leading to putamen necrosis and decreased visual acuity. He had dyselectrolytemia and metabolic acidosis which was successfully managed with early intervention. Its importance lies in the fact that inhalational methanol poisoning is an entity which if picked up early can prevent long-term neurological sequelae