An Unusual Case of Hodgkin's Lymphoma with Initial Presentation of Fever, Mediastinal Lymphadenopathy and Disseminated Nocardiosis

We report an unusual case who presented with fever and mediastinal lymphadenopathy. He was extensively investigated, but all tests were normal. A few months later he developed disseminated Nocardiosis involving lung parenchyma and brain. He responded well to treatment. Some months later he was noted to have cervical lymphadenopathy, which on biopsy was found to be Hodkins lymphoma. He was also treated for the latter also and has now completely recovered from the lymphoma as well as Nocardiosis. We note that this form of presentation is extremely rare.