Nocardia paucivorans brain abscess. Clinical and microbiological characteristics

Luis Aliaga1,2, Georgette Fatoul2, Emilio Guirao-Arrabal2

  • 1Department of Medicine, University of Granada, Avda. de la Ilustración, 80, 18016, Granada, Spain.

Idcases
|August 14, 2018
PubMed

Insights

Nocardia paucivorans brain abscesses are rare in humans. Long-term antimicrobial treatment led to recovery or cure in all nine reported cases, with some patients also undergoing surgical drainage.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Microbiology

Background:

  • Brain abscesses caused by Nocardia paucivorans are exceptionally rare in human patients.
  • Only sixteen cases have been documented globally in medical literature.

Purpose of the Study:

  • To summarize the clinical presentation and treatment outcomes of Nocardia paucivorans brain abscesses.
  • To assess the efficacy of antimicrobial therapy and surgical intervention.

Main Methods:

  • Literature review of reported Nocardia paucivorans brain abscess cases.
  • Analysis of clinical data from nine patients with detailed information.

Main Results:

  • All nine patients with available clinical data achieved recovery or cure.
  • Long-term antimicrobial treatment was the primary therapeutic strategy.
  • Four patients underwent surgical drainage as part of their treatment.

Conclusions:

  • Nocardia paucivorans brain abscesses, though rare, are treatable with prolonged antimicrobial therapy.
  • Successful outcomes can be achieved with appropriate medical management, potentially including surgical intervention.

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