Brain abscess caused by Nocardia asiatica
| Autor: | Atsuhito Uneda, Shuichi Okubo, Koji Hirashita, Kimihiro Yoshino, Kenta Suzuki, Masatoshi Yunoki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pathology
medicine.medical_specialty Case Report Microbiology 03 medical and health sciences 0302 clinical medicine Nocardia asiatica medicine 030212 general & internal medicine 16S rRNA Brain abscess integumentary system biology business.industry Mortality rate Nocardia bacterial infections and mycoses medicine.disease biology.organism_classification bacteria Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | Background: Nocardia infection of the central nervous system leading to brain abscess is a rare condition but has a high mortality rate. Among the species of Nocardia, only three cases of brain abscess due to Nocardia asiatica infection have been reported. Case Description: A 65-year-old man with a history of autoimmune hemolytic anemia treated with prednisolone presented to our hospital because of occipital headache. Brain magnetic resonance imaging showed bilateral occipital lesions. The patient underwent craniotomy and resection of the left occipital lobe lesion. N. asiatica was identified by 16S rRNA sequencing of the resected specimen. Treatment with trimethoprim/sulfamethoxazole led to a complete resolution of the brain lesion. Conclusion: Because of the different antimicrobial sensitivity patterns among Nocardia species, both appropriate subtyping and susceptibility testing of uncommon species such as N. asiatica are required for the successful treatment of nocardial infections. |
| Databáze: | OpenAIRE |
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