Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management

Nader Delavari, Khoi Than, Kevin S. Chen, Paul E. McKeever, Anthony C. Wang, Aditya S. Pandey

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Nocardia species are an infrequent cause of brain abscesses. We report a 50-year-old man with Nocardia paucivorans cerebral abscesses. Brain MRI revealed innumerable small ring-enhancing lesions. The patient initially responded to treatment with antibiotics and steroids, but experienced worsening after discontinuation of steroids. Brain biopsy performed to exclude central nervous system lymphoma produced nodular tissue with branching filaments on silver stain. Steroids were re-initiated and tapered slowly. The patient completed 1. year of antibiotic therapy, after which he had no neurological symptoms and complete resolution of all brain abscesses on MRI.

Original languageEnglish (US)
JournalJournal of Clinical Neuroscience
DOIs
StateAccepted/In press - Jun 23 2015
Externally publishedYes

Fingerprint

Nocardia
Brain Abscess
Abscess
Steroids
Anti-Bacterial Agents
Follicular Lymphoma
Brain
Silver
Coloring Agents
Central Nervous System
Biopsy
Therapeutics

Keywords

  • Brain abscess
  • Nocardia paucivorans
  • Nocardiosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management. / Delavari, Nader; Than, Khoi; Chen, Kevin S.; McKeever, Paul E.; Wang, Anthony C.; Pandey, Aditya S.

In: Journal of Clinical Neuroscience, 23.06.2015.

Research output: Contribution to journalArticle

Delavari, Nader ; Than, Khoi ; Chen, Kevin S. ; McKeever, Paul E. ; Wang, Anthony C. ; Pandey, Aditya S. / Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management. In: Journal of Clinical Neuroscience. 2015.
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