Meningitis and Ventriculitis due to Nocardia araoensis Infection

Autor: Tomio Tanigawa, Fumio Yamamoto, Hiroyuki Kawano, Yukio Ando, Toru Gonoi, Yosuke Mihara, Satoshi Yamashita
Rok vydání: 2017
Předmět:
Zdroj: Internal Medicine. 56:853-859
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.56.7332
Popis: A 73-year-old man was admitted to our hospital with disturbance of consciousness, fever and headache. Cerebrospinal fluid (CSF) analysis revealed pleocytosis with neutrophil predominance, increased protein and low glucose. CSF and blood cultures yielded negative results. Antibiotics and antituberculous drugs were started for meningitis. An antimycotic was also added. The patient died from transtentorial hernia 99 days after admission. Autopsy revealed meningitis, ventriculitis and brain abscess, and Nocardia araoensis was detected in pus from the left lateral ventricle. This appears to represent the first report of N. araoensis meningitis complicated by ventriculitis and brain abscess.
Databáze: OpenAIRE