WE ARE reporting the following case of pulmonary nocardiosis with multiple metastatic abscesses because it presented a difficult problem in diagnosis and because it had an unusual origin in severe disease of the lung in a child.
REPORT OF CASE
Clinical Aspects.—A boy, 15 months old, was admitted to a hospital in Indiana on Dec. 6, 1952, because of a respiratory infection of about 10 days' duration. At the onset, the patient had contracted what was thought to be a head cold, although he previously had manifested a productive cough. There was a moderate elevation of temperature accompanied by cough and wheezy respiration, pallor, listlessness, and loss of strength. A mild blueness developed around the lips and eyes. Vomiting had been periodic, and the cough was much worse at night. The feeding habits of this child had always represented a problem. He had been in a hospital because of