TITLE

Nocardial brain abscess in an immunocompromised old patient: a case report and review of literature

AUTHOR(S)
Hailiang Tang; Tianming Mao; Ye Gong; Ying Mao; Qing Xie; Daijun Wang; Hongda Zhu; Xiancheng Chen; Liangfu Zhou
PUB. DATE
June 2014
SOURCE
International Journal of Clinical & Experimental Medicine;2014, Vol. 7 Issue 5, p1480
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Nocardial brain abscess is a rare central nervous system (CNS) infection with high morbidity and mortality. The infection is acquired through inhalation or direct contact with the bacteria, and could spreads through blood transmission. Nocardial brain abscess is usually associated with immunocompromised patients, but sometimes may appear in healthy individuals. Treatment is based on stereotaxic aspiration or surgical resection, and antibiotics therapy for several months. Clinical presentation: We presented one case of nocardial brain abscess treated at our department with review the literature. The patient was 65-year-old with ANCA polyangitis. She had oral methylprednisolone tablets treatment for over 6 months. The patient was treated with surgical evacuation and long-term antibiotics. The patient recovered well at discharge. Conclusion: Nocardial brain abscess is a rare CNS infection that needs to be differentiated from other brain lesions. It could occur in immunocompromised patients or healthy individuals. Treatment includes surgical intervention and long-term antibiotics therapy.
ACCESSION #
96422517

 

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