Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management

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

doi:10.1016/j.jocn.2015.10.028

Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management

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

Neurosurgery

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

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 language	English (US)
Pages (from-to)	175-177
Number of pages	3
Journal	Journal of Clinical Neuroscience
Volume	27
DOIs	https://doi.org/10.1016/j.jocn.2015.10.028
State	Published - May 1 2016

Keywords

Brain abscess
Nocardia paucivorans
Nocardiosis

ASJC Scopus subject areas

Surgery
Neurology
Clinical Neurology
Physiology (medical)

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10.1016/j.jocn.2015.10.028

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title = "Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management",

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.",

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AU - Delavari, Nader

AU - Than, Khoi D.

AU - Chen, Kevin S.

AU - McKeever, Paul E.

AU - Wang, Anthony C.

AU - Pandey, Aditya S.

PY - 2016/5/1

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AB - 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.

KW - Brain abscess

KW - Nocardia paucivorans

KW - Nocardiosis

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Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management

Abstract

Keywords

ASJC Scopus subject areas

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