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Nocardia brain abscess in a diabetic patient
Prithwiraj Chakrabarti1, Sitansu Sekhar Nandi, Subhash Kumar Todi
1Department of Microbiology, Advanced Medicare Research Institute (AMRI) Hospitals, Kolkata, India. prithwi4@rediffmail.com
Abstract:
Brain abscess due to disseminated nocardia infection is an acute medical emergency among immunocompromised patients. We report a case of rapidly progressive nocardia brain abscess in an apparently healthy diabetic individual. The close similarity of the radiological features with those of malignancy and tuberculosis may delay the diagnosis of central nervous system (CNS) nocardiosis. A high index of suspicion and early intervention like stereotactic brain biopsy remain the cornerstone to increase the chance of positive clinical outcome.
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