Primary cerebral abscess due to Nocardia asteroides presenting as stroke
R T Cheung1, Y L Yu, C M Chang
1Department of Medicine, University of Hong Kong, Queen Mary Hospital, Pokfulam.
Clinical and Experimental Neurology
|January 1, 1994
Summary
Nocardial cerebral abscesses, caused by Nocardia asteroides, are rare and can mimic strokes. Early contrast CT scans are crucial for prompt diagnosis and treatment of this serious infection.
Area of Science:
- Neurology
- Infectious Diseases
- Microbiology
Background:
- Nocardial cerebral abscess is an uncommon infection, often secondary to a primary septic focus.
- Nocardia asteroides is a bacterial species known to cause opportunistic infections.
Observation:
- A 44-year-old male presented with stroke-like episodes suggestive of a neurological event.
- The patient experienced spontaneous improvement between episodes, complicating initial diagnosis.
Findings:
- Primary nocardial cerebral abscesses due to Nocardia asteroides were diagnosed.
- Diagnosis required contrast CT brain imaging and microbiological analysis of surgical specimens.
Implications:
- Early contrast CT is vital for timely diagnosis of nocardial brain abscess.
- Prompt diagnosis and treatment are essential for managing this severe condition.
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