title: [Cerebral and spinal nocardia infection. A case report].
abstract: We report a case of multiple cerebral and spinal abscesses due to Nocardia asteroides in a non-immunocompromised patient. The initial central nervous system manifestation was a sterile meningitis, with secondary development of multiple cerebral and spinal abscesses. Since the location of the abscesses did not allow neurosurgical exploration and the cultures remained negative, the diagnosis was finally established by raised antibody titres to Nocardia asteroides. After specific antibiotic therapy, resolution of the spinal and cerebral abscesses was documented on the basis of serial magnetic resonance tomography and computed tomography controls.
authors.affiliation: Universitätsklinik für Neurologie, Intensiv- und Infektionsabteilung, Innsbruck.
authors.forename: A
authors.initials: A
authors.lastname: Kampfl
authors.forename: A
authors.initials: A
authors.lastname: Auckenthaler
authors.forename: K
authors.initials: K
authors.lastname: Berek
authors.forename: G
authors.initials: G
authors.lastname: Birbamer
authors.forename: H P
authors.initials: HP
authors.lastname: Haring
authors.forename: G
authors.initials: G
authors.lastname: Luef
authors.forename: B
authors.initials: B
authors.lastname: Pfausler
authors.forename: E
authors.initials: E
authors.lastname: Schmutzhard
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D000583:Amikacin / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D009616:Nocardia asteroides; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin
vernacular_title: Zerebrale und spinale Nokardieninfektion. Ein Fallbericht.