Cerebral abscess caused by Nocardia nova.
Primary cerebral nocardiosis is very rare and the subgroup of the isolate has usually been defined as Nocardia asteroides. We report an unusual patient with a cerebral abscess whose cultures were typical for N. nova. It was first isolated from an HIV-1 infected individual and has a distinctive antibiotic susceptibility among the species of N. asteroides. Aggressive surgical and medical intervention is a must for these unusual pathogens. Although our surgical strategy was successful, treatment of nocardial cerebral abscess is quite hard and long lasting, and N. nova in particular necessitates a specific antibiotic regimen.
Ankara Numune Education and Research Hospital, Department of Neurosurgery, Ankara, Turkey.
Ali Riza
AR
Gezici
Ergun
E
Daglioglu
Fikret
F
Ergungor
Onder
O
Okay
Omer
O
Polat
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000150:complications*; D009616:Nocardia asteroides / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents