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Disseminated Nocardiosis: The Complexity of the Diagnosis
Cristina Marques1, Marcia Ribeiro1, Maria Teresa Bonccoraglio1
1Internal Medicine Department, Hospital Santa Maria Maior, Barcelos, Portugal.
Abstract:
Nocardiosis is a rare infection in immunocompetent patients. Nocardia spp. is an uncommon cause of prostate abscesses and is responsible for only 1-2% of brain abscess. Hematogenous dissemination can occur, and presentation of abscesses in more than two locations is required to determine a disseminated nocardiosis. The microbiological diagnosis of this agent is still a challenge due to the complexity of its identification in regular laboratories. An early diagnosis and adequate treatment with effective antibiotics are critical for treating this entity. We report a case of a patient who presented with brain abscess with a previous medical history of prostate abscess to Nocardia spp. which evolved to disseminated nocardiosis.
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