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Nocardiosis is a rare disease, and worldwide, respiratory and disseminated infections are most often due toNocardia asteroideswhich is recognised increasingly as an opportunistic infection in patients with underlying chronic debilitating disease or immunodeficiency. However, infection withN. otitidiscaviarumand pulmonary nocardiosis in an immune-competent host remains very rare. We report a 65-year-old immune-competent male with pulmonaryN. otitidiscaviaruminfection in whom complete cure was provided with a 6 months of antibiotic combination including trimethoprim-sulfomethaxazol. This is the first report of pulmonaryN. otitidiscaviaruminfection in an immune-competent patient from Turkey. [ABSTRACT FROM AUTHOR]