{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T17:33:14Z","timestamp":1767807194451,"version":"3.49.0"},"reference-count":6,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,1]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    An immunocompetent male in his 30s with a history of bronchiectasis presented with recurrent haemoptysis (5\u201310 mL every 2 months) over 4 years. High-resolution CT revealed cystic bronchiectasis and ground-glass opacities. Bronchoscopy identified active bleeding from a ruptured bronchial artery, which was successfully managed with emergent embolisation. Bronchoalveolar lavage demonstrated weakly acid-fast branching filaments, later confirmed as\n                    <jats:italic>Nocardia asteroides<\/jats:italic>\n                    by matrix-assisted laser desorption-ionisation time of flight mass spectrometry. The patient responded well to trimethoprim-sulfamethoxazole and remained stable at follow-up.\n                  <\/jats:p>\n                  <jats:p>This case highlights three key points: (1) pulmonary nocardiosis should be considered in chronic haemoptysis, especially in patients with structural lung disease, even if immunocompetent; (2) rapid microbiological diagnosis is critical, particularly when acid-fast staining yields atypical results; and (3) bronchial artery embolisation can be lifesaving in cases of nocardial vasculitis with active bleeding. The report underscores the importance of multidisciplinary management in such complex presentations.<\/jats:p>","DOI":"10.1136\/bcr-2025-268534","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:46:01Z","timestamp":1767789961000},"page":"e268534","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pulmonary nocardiosis masquerading as refractory haemoptysis in a bronchiectasis patient: the critical role of multidisciplinary management"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5153-0996","authenticated-orcid":false,"given":"Amisha Harish","family":"Soni","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1553-7268","authenticated-orcid":false,"given":"Babaji","family":"Ghewade","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0456-9412","authenticated-orcid":false,"given":"Poonam Avinash","family":"Patil","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2183-7098","authenticated-orcid":false,"given":"Aarnav","family":"Mehta","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"2026010704455799000_19.1.e268534.1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.19.2.259-282.2006"},{"key":"2026010704455799000_19.1.e268534.2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.6208"},{"key":"2026010704455799000_19.1.e268534.3","doi-asserted-by":"publisher","DOI":"10.1086\/657399"},{"key":"2026010704455799000_19.1.e268534.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2007.01078.x"},{"key":"2026010704455799000_19.1.e268534.5","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.10.4497-4501.2003"},{"key":"2026010704455799000_19.1.e268534.6","article-title":"Successful management of pulmonary nocardiosis and aspergilloma coinfection with hemoptysis: A case report and literature review","volume":"6","author":"Kurahara","year":"2018","journal-title":"Respirol Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:46:02Z","timestamp":1767789962000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268534"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-268534"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268534","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}