Nocardial brain abscesses in a HIV positive patient misinterpreted as tubercular brain abscesses.
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.
Mukhopadhyay
Chiranjoy
C
Department of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. chiranjay@yahoo.co.in
Sahu
Ravi Narayan
RN
Ayyagari
Archana
A
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