Nocardia brain abscess mimicking brain tumour in immunocompetent patients: report of two cases and review of the literature

Nocardia brain abscess is a rare intracranial lesion and has been reported in immunocompromised patients. An optimal treatment approach has not been established. However, early diagnosis and appropriate antimicrobial therapy are very important factors for a good outcome. We report two unusual cases...

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Bibliographic Details
Published inActa neurochirurgica Vol. 146; no. 4; pp. 411 - 414
Main Authors Menkü, A, Kurtsoy, A, Tucer, B, Yildiz, O, Akdemir, H
Format Journal Article
LanguageEnglish
Published Austria Springer Nature B.V 01.04.2004
Subjects
Adolescent
Brain Abscess - diagnosis
Brain Abscess - surgery
Brain cancer
Brain Neoplasms - diagnosis
Diagnosis, Differential
Humans
Immunocompetence
Infections
Male
Middle Aged
Neuronavigation
Nocardia asteroides
Nocardia Infections - diagnosis
Nocardia Infections - surgery
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Summary:Nocardia brain abscess is a rare intracranial lesion and has been reported in immunocompromised patients. An optimal treatment approach has not been established. However, early diagnosis and appropriate antimicrobial therapy are very important factors for a good outcome. We report two unusual cases of Nocardia brain abscess simulating brain tumour in immunocompetent patients. One of the cases was presumed to be a primary brain tumour and the other a metastatic brain tumour. They underwent surgical gross total resection. After Nocardia asteroides was seen on Gram's stain and subsequently identified by culture, appropriate antibiotic therapy was initiated.
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-004-0215-6