title: [Disseminated Nocardiosis Complicated by Multiple Brain Abscesses: A Case Report].
abstract: We report a relatively rare case of a disseminated type of nocardiosis without lung involvement. A 75-year-old man developed moderate fever and disturbed consciousness and was admitted to our hospital. Laboratory examinations revealed signs of inflammation. Chest X-rays indicated no abnormalities, but brain MRI showed ring-like enhancement lesions in the right temporal and left frontal lobes. Similar lesions were identified in the left kidney and right leg. The brain lesions were purulent and were surgically irrigated. Gram- and Kinyoun-positive bacteria were identified, and the patient was diagnosed as suffering from a disseminated type of nocardiosis without lung involvement. He was treated with trimethoprim-sulfamethoxazole for over 10 months. The postoperative course was uneventful, and he was discharged without any neurological sequelae two months after surgery. Kinyoun staining was important in early diagnosis and hence providing appropriate therapy for life-threatening nocardiosis.
authors.affiliation: Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama.
authors.forename: Masaki
authors.initials: M
authors.lastname: Koh
authors.forename: Takahiro
authors.initials: T
authors.lastname: Tomita
authors.forename: Daina
authors.initials: D
authors.lastname: Kashiwazaki
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Ashizawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kuroda
mesh_terms: D000368:Aged; D001922:Brain Abscess / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D048909:Diabetes Complications; D003920:Diabetes Mellitus; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D009617:Nocardia Infections / Q000209:etiology*; D014057:Tomography, X-Ray Computed