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2021, Number 3

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Arch Neurocien 2021; 26 (3)

Nocardia abscessus brain abscess in an immunocompetent patient with bronchiectasis

Camiro-Zúñiga A, Rodríguez-Alcocer AN, Steta-Orozco J, Tejeda-Maldonado J, Espinosa-Aguilar L, Gonzalez-Patiño M, Murrieta-Peralta E, Romero-Figueroa JÁ, Calleja-Castillo J
Full text How to cite this article

Language: English
References: 5
Page: 25-28
PDF size: 423.95 Kb.


Key words:

Brain Abscess, Nocardial infection, Bronchiectasis.

ABSTRACT

A 56 year-old woman presented with new onset focal seizure with a history of bronchiectasis. Brain abscess was diagnosed by magnetic resonance. She was confirmed to be immunocompetent and had histoplasmosis, tuberculosis, and infective endocarditis ruled out. Nocardia sp. was isolated from the brain abscess and identified as Nocardia abscessus complex by 16S rRNA sequencing. She was discharged on trimethoprim/sulfamethoxazole. Nocardia sp. is a cause of brain abscesses in patients with underlying pulmonary structural disease like bronchiectasis. Nocardia identification is of paramount importance as it is not treated with empiric antimicrobial therapy.


REFERENCES

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  3. Woodworth MH, Saullo JL, Lantos PM, Cox GM, Stout JE. Increasing Nocardia Incidence Associated with Bronchiectasis at a Tertiary Care Center. Ann Am Thorac Soc. 2017; 14(3): 347-354. doi: 10.1513/AnnalsATS.201611-907OC

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  5. Conville PS, Brown-Elliott BA, Smith T, Zelazny AM. The Complexities of Nocardia Taxonomy and Identification. J Clin Microbiol. 2017 26; 56(1): e01419-17. doi: 10.1128/JCM.01419-17




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Arch Neurocien. 2021;26