Smear for Nocardia Test

Nocardia is a genus of weakly staining Gram-positive, catalase-positive, rod-shaped bacteria. It forms partially acid-fast beaded branching filaments (acting as fungi, but being truly bacteria). Some species are nonpathogenic, while others are responsible for nocardiosis. Most Nocardia infections are acquired by inhalation of the bacteria or through traumatic introduction. The diagnosis of nocardiosis is established with culture of the causative organism from the infection site(s). Because nocardiae grow slower than common bacteria, the microbiology laboratory should always be notified when nocardiosis is clinically suspected. This is particularly true when sputum is the submitted specimen. Respiratory secretions, skin biopsy samples, and aspirates from abscesses are the most common specimens from which Nocardia species are identified. Direct smears or histopathologic stains of these specimens can be highly suspicious, as noted above. Nocardia species can usually be isolated in 3-5 days.

It is recommended that you should either wear a sleeve-less or a short-sleeved shirt to make it easier for you and the technician who will be drawing the blood. Wearing a shirt with full- sleeves that can easily be rolled-up is also fine.

Reference value: negative The most common form of human nocardial disease is a slowly progressive pneumonia, the common symptoms of which include cough, dyspnea (shortness of breath), and fever. It is not uncommon for this infection to spread to the pleura or chest wall.

Nocardia species are deeply involved in the process of endocarditis as one of its main pathogenic effects. In about 25–33% of people Nocardia infection takes the form of encephalitis and/or brain abscess formation.

A band is wrapped around the arm, 3-4 inches above the collection site (superficial vein that lies within the elbow pit) A 70% alcohol pad is used to clean the skin A needle is then kept in line with and injected into a vein that can be seen from the skin The blood is dragged out from the needle by a nozzle, saved in a vessel and sealed with your name The sample is then taken to a lab for examination