Case Report: Primary Pulmonary Nocardiosis and Candidosis with Cutaneous Involvement in Nephrotic Syndrome Patient under Steroid Therapy
Bibliographic record
Abstract
Background: Nocardiosis along with Candiodiosis are an opportunistic infection which predominantly affects an immunocompromised and debilitated patient. The Host immune systems, medication with an Immunosuppressive drug and other predisposing factors have an important role in systemic dissemination of infection. Case summary: A case of 62 year old man with a history of hypertension and steroid treated nephrotic syndrome, a chief complain of shortening of breathe, restlessness, lethargy was admitted to intensive care unit. Radiological findings shows bilateral pneumonia with parapneumonic effusion and right thigh abscesses. Method: AFB staining, Gram staining, Fluorescence staining, Culture techniques, phenotypic characteristics, biochemical interpretation and antibiotic susceptibility pattern suggests and confirm the aetiological agent conferring infection. Eventually, a medication with sulfamethoxazole and cefexime results the progressive changes in patient and hence was discharged. Conclusion: The clinical symptoms and radiological findings are nonspecific and hence microbiological investigations enlighten the aetiological agent, its characteristics features and susceptibility patterns to antibiotics for diagnostic/prognostic approach.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".