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Brain abscess due to Nocardia.

P Talwar1, A Chakrabarti, A Ayyagari

  • 1Department of Medical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Mycopathologia
|October 1, 1989
PubMed
Summary
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Cerebral Nocardiosis, a rare brain infection, can be caused by Nocardia asteroides and Nocardia caviae. This study highlights a case in a transplant patient and an apparently healthy individual, both with fatal outcomes.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Microbiology

Background:

  • Cerebral Nocardiosis is a rare opportunistic infection, typically affecting immunocompromised individuals.
  • Nocardia species are the causative agents, with Nocardia asteroides being the most common.
  • Nocardia caviae is an uncommon cause of cerebral infections, rarely reported in healthy individuals.

Purpose of the Study:

  • To report two distinct cases of cerebral abscess caused by Nocardia species.
  • To highlight the occurrence of Nocardia caviae brain abscess in an apparently healthy individual, challenging previous assumptions.
  • To document the clinical course and outcomes of these rare infections.

Main Methods:

  • Case report analysis of two patients diagnosed with cerebral Nocardia infections.

Related Experiment Videos

  • Identification of Nocardia species through microbiological culture and sensitivity testing.
  • Review of existing literature on Nocardia brain abscesses.

    • Main Results:

    • One case involved Nocardia asteroides in a post-renal transplant patient.
    • The second case involved an uncommon Nocardia caviae infection in an apparently healthy individual.
    • Agar dilution testing indicated a higher resistance pattern in Nocardia asteroides.
    • Both patients unfortunately succumbed to their infections despite antimicrobial therapy and abscess drainage.

    Conclusions:

    • Cerebral Nocardiosis, even by uncommon species like Nocardia caviae, can occur in seemingly healthy individuals.
    • Nocardia infections of the brain, regardless of the species, carry a high mortality rate.
    • Antimicrobial resistance patterns may influence treatment outcomes in Nocardia brain abscesses.