Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Nader DelavariAditya S Pandey

Abstract

Nocardia species are an infrequent cause of brain abscesses. We report a 50-year-old man with Nocardia paucivorans cerebral abscesses. Brain MRI revealed innumerable small ring-enhancing lesions. The patient initially responded to treatment with antibiotics and steroids, but experienced worsening after discontinuation of steroids. Brain biopsy performed to exclude central nervous system lymphoma produced nodular tissue with branching filaments on silver stain. Steroids were re-initiated and tapered slowly. The patient completed 1year of antibiotic therapy, after which he had no neurological symptoms and complete resolution of all brain abscesses on MRI.

References

Aug 22, 2002·Neurosurgery·Gabriel Y F LeePeter L Reilly
Jul 1, 2011·Journal of Korean Neurosurgical Society·Mi Kyong JoungKyong Ran Peck

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Citations

Jul 11, 2020·Journal of Clinical Medicine·Lucas TramèrPhilip E Tarr
Nov 4, 2020·BMJ Case Reports·Muhammad Bilal MalikM A Rehman Siddiqui

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