Nocardial brain abscess mimicking lung cancer metastasis in immunocompetent patient with pulmonary nocardiasis: a case report.
Acta Clin Croat
; 58(3): 540-545, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31969769
ABSTRACT
Nocardia is a ubiquitous microorganism which can be the cause of local and disseminated infection in humans. Immunocompetent and immunocompromised patients both can be affected and Nocardia cyriacigeorgica was reported as a pathogen isolated in patients worldwide. In most cases, nocardiosis is present as pulmonary infection because inhalation is the primary way of bacterial exposure. Nocardial brain abscess occurs usually secondary to a septic focus elsewhere in the body. Considering the facts that the elderly population is growing, such as the number of immunocompromised patients together with high mortality rate in patients with nocardial infection of the central nervous system, we have to raise awareness of the possibility for this rare but potentially fatal condition. We present a case where nocardial abscesses of lung and brain were initially suspected as lung cancer with brain metastases. The patient was treated with a combination of surgical resection and antimicrobial therapy with good outcome.
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Base de dados:
MEDLINE
Assunto principal:
Abscesso Encefálico
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Neoplasias Pulmonares
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Antibacterianos
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Metástase Neoplásica
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Nocardiose
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article