title: Nocardial brain abscesses in a HIV positive patient misinterpreted as tubercular brain abscesses.
abstract: We present a case of nocardial (Nocarda transvalensis) brain abscesses in a HIV infected person with CD4 count of 53 cells/ml, who received antitubercular therapy for one year. A magnetic resonance imaging study showed multiple ring-enhancing lesions in right parieto-occipital parenchymal region along with perilesional edema and mass effect. Right posterior temporal burr hole aspiration of the abscesses and postoperative cotrimoxazole and ampicillin-sulbactum therapy cured the patient. It is a case of HIV infection with rare and sole manifestation of multiple cerebral abscesses due to N. transvalensis.
authors.affiliation: Department of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. chiranjay@yahoo.co.in
authors.forename: Chiranjoy
authors.initials: C
authors.lastname: Mukhopadhyay
authors.forename: Ravi Narayan
authors.initials: RN
authors.lastname: Sahu
authors.forename: Archana
authors.initials: A
authors.lastname: Ayyagari
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D001922:Brain Abscess / Q000175:diagnosis / Q000382:microbiology*; D003951:Diagnostic Errors; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis*; D014390:Tuberculosis, Meningeal / Q000175:diagnosis