Nocardia brain abscess in a diabetic patient.
Brain abscess due to disseminated nocardia infection is an acute medical emergency among immunocompromised patients. We report a case of rapidly progressive nocardia brain abscess in an apparently healthy diabetic individual. The close similarity of the radiological features with those of malignancy and tuberculosis may delay the diagnosis of central nervous system (CNS) nocardiosis. A high index of suspicion and early intervention like stereotactic brain biopsy remain the cornerstone to increase the chance of positive clinical outcome.
Chakrabarti
Prithwiraj
P
Department of Microbiology, Advanced Medicare Research Institute (AMRI) Hospitals, Kolkata, India. prithwi4@rediffmail.com
Nandi
Sitansu Sekhar
SS
Todi
Subhash Kumar
SK
D001706:Biopsy; D001921:Brain / Q000000981:diagnostic imaging; D001922:Brain Abscess / Q000382:microbiology*; D001932:Brain Neoplasms / Q000175:diagnosis; D048909:Diabetes Complications / Q000382:microbiology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis*; D011859:Radiography; D016862:Tuberculoma, Intracranial / Q000175:diagnosis