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 CASE REPORT
Year : 2008  |  Volume : 26  |  Issue : 3  |  Page : 274-277

Nocardial brain abscess in an immunocompetent host


1 Department of Microbiology, St. John's Medical College, Bangalore-560 034, Karnataka, India
2 Department of Neuromicrobiology, National Institute of Mental Health and Neurosciences, Bangalore- 560 029, Karnataka, India
3 Department of Neuropathology, National Institute of Mental Health and Neurosciences, Bangalore- 560 029, Karnataka, India
4 Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore- 560 029, Karnataka, India

Correspondence Address:
M Dias
Department of Microbiology, St. John's Medical College, Bangalore-560 034, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.42052

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Nocardial infection of the central nervous system is rare and usually manifests as brain abscess. Here we describe an elderly gentleman who presented with signs and symptoms of an intracranial mass lesion localising to the frontal lobe. Clinical examination and CT scan suggested neoplasia as the probable diagnosis. A biloculated abscess was seen at surgery. Aspiration of the contents and examination of pus revealed Nocardia asteroides . Treatment included total excision and prolonged antibiotic therapy which resulted in an excellent outcome.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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