Prolonged unconsciousness in a patient with End-stage Renal Disease.
Patients with End-stage Renal Disease being immunocompromised; are prone to a variety of infections, sometimes, rare ones, more than the general population. This fact should alert the physicians to be more vigilant and have a broader scope when considering the etiology of infections in such patients. We report the case of a 65-year-old man who had a very stormy hospital stay secondary to cerebral nocardiosis with multiple brain abscesses, prolonged unconsciousness and neurological deficits. However, the patient was treated successfully, surgically and chemotherapeutically. He was discharged home in a good condition.
Ghalib
Mohamed B
MB
Division of Nephrology, Department of Medicine, King Abdulaziz Medical City, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
Hassan
Imad Salah
IS
D000368:Aged; D000583:Amikacin / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy; D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D001929:Brain Edema / Q000209:etiology; D002443:Ceftriaxone / Q000627:therapeutic use; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D009617:Nocardia Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014474:Unconsciousness / Q000209:etiology*; D014640:Vancomycin / Q000627:therapeutic use
D014640:Vancomycin; D002443:Ceftriaxone; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin