title: Meningitis and Ventriculitis due to Nocardia araoensis Infection.
abstract: A 73-year-old man was admitted to our hospital with disturbance of consciousness, fever and headache. Cerebrospinal fluid (CSF) analysis revealed pleocytosis with neutrophil predominance, increased protein and low glucose. CSF and blood cultures yielded negative results. Antibiotics and antituberculous drugs were started for meningitis. An antimycotic was also added. The patient died from transtentorial hernia 99 days after admission. Autopsy revealed meningitis, ventriculitis and brain abscess, and Nocardia araoensis was detected in pus from the left lateral ventricle. This appears to represent the first report of N. araoensis meningitis complicated by ventriculitis and brain abscess.
authors.affiliation: Division of Neurology, Minamata City Hospital, Japan.
authors.forename: Fumio
authors.initials: F
authors.lastname: Yamamoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamashita
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kawano
authors.forename: Tomio
authors.initials: T
authors.lastname: Tanigawa
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Mihara
authors.forename: Toru
authors.initials: T
authors.lastname: Gonoi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Ando
mesh_terms: D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000150:complications* / Q000382:microbiology; D058565:Cerebral Ventriculitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D009615:Nocardia; D009617:Nocardia Infections / Q000150:complications*
chemical_list: D000890:Anti-Infective Agents