A rare case of isolated cauda equina Nocardia farcinica infection
Autor: | Tamajit Chakraborty, V S Madan, Ashish Goyal, Medha Vyas |
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Rok vydání: | 2019 |
Předmět: |
musculoskeletal diseases
0301 basic medicine Adult Male Pathology medicine.medical_specialty Cauda Equina medicine.medical_treatment Nocardia Infections Cauda equina syndrome Cauda Equina Syndrome Nocardia Lesion 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Virology Rare case Trimethoprim Sulfamethoxazole Drug Combination Medicine Humans Nocardia farcinica Paraplegia biology business.industry Laminectomy Cauda equina Meropenem biology.organism_classification medicine.disease Decompression Surgical Magnetic Resonance Imaging Anti-Bacterial Agents 030104 developmental biology medicine.anatomical_structure Treatment Outcome Neurology Neurology (clinical) medicine.symptom business Low Back Pain 030217 neurology & neurosurgery |
Zdroj: | Journal of neurovirology. 26(4) |
ISSN: | 1538-2443 |
Popis: | Nocardia is a Gram-positive, partially acid-fast, catalase-positive, and urease-positive bacterium that grows aerobically. We present an extremely rare case of cauda equina syndrome due to isolated intramedullary Nocardia farcinica infection. A 44-year-old male presented with low backache and gradually progressive weakness in bilateral lower limbs followed by paraplegia. He was found to have a well-defined, sharply demarcated ring-enhancing lesion located from T11-T12 to L3 vertebral body. He underwent laminectomy and decompression. The histopathological examination revealed a Gram-positive filamentous organism that looks like Nocardia. The culture report was suggestive of Nocardia farcinica. He was then treated with antibiotics and had a remarkable clinical and radiological improvement. |
Databáze: | OpenAIRE |
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