[Nocardial brain abscess: case report].
A 25-year-old man, who was slightly immunosuppressed, presented headache and right motor weakness due to multiple brain abscesses disseminated from lung abscess. They were diagnosed, by bacteriological examination, as nocardial brain abscesses (nocardia asteroides) 4 weeks after the first operation. In spite of delay in the diagnosis, he was relieved by operations (three times) and chemotherapy including high doses of Sulfamethoxazole-Trimethoprim. He was eventually discharged. We stress the necessity of early diagnosis and the efficacy of Sulfamethoxazole-Trimethoprim for nocardial brain abscess.
Yamaguchi
Y
Y
Department of Surgical Neurology, Jichi Medical School, Tochigi, Japan.
Miyake
H
H
Nakahara
N
N
Masuzawa
T
T
D000328:Adult; D000900:Anti-Bacterial Agents / Q000097:blood / Q000134:cerebrospinal fluid / Q000627:therapeutic use*; D001922:Brain Abscess / Q000188:drug therapy* / Q000378:metabolism / Q000601:surgery; D003131:Combined Modality Therapy; D004338:Drug Combinations / Q000097:blood / Q000134:cerebrospinal fluid / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000188:drug therapy* / Q000378:metabolism / Q000601:surgery; D009616:Nocardia asteroides; D013420:Sulfamethoxazole / Q000097:blood / Q000134:cerebrospinal fluid / Q000627:therapeutic use*; D014295:Trimethoprim / Q000097:blood / Q000134:cerebrospinal fluid / Q000627:therapeutic use*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014295:Trimethoprim; D013420:Sulfamethoxazole