Nocardia farcinica abscess of the cerebellum in an immunocompetent patient: A case report and review of the literature

Nocardial brain abscesses are uncommon and rarely occur in patients without predisposing factors. They may be mistaken for gliomas or necrotic metastases, and surgical intervention may be required to make the diagnosis. We report the first case of Nocardia farcinica cerebellar abscess in a patient without immunosuppression. He presented to us with headache and instability beginning a week before. Brain magnetic resonance imaging (MRI) revealed a cystic lesion located at the right cerebellar hemisphere, hypointense in T1 and hyperintense in T2, with a fine wall that enhanced after injection of gadolinium. Image tests also showed a cavitated lesion at the upper lobule of the right lung. The patient underwent craniotomy and drainage of the cerebellar abscess. Initial post-operative treatment with linezolid produced a limited response. He was re-operated and vancomycin, imipenem and ciprofloxacin were added with an excellent outcome of the cerebellar and lung lesions.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Nocardia farcinica abscess of the cerebellum in an immunocompetent patient: A case report and review of the literature ; volume:11 ; number:04 ; year:2016 ; pages:454-455
Asian journal of neurosurgery ; 11, Heft 04 (2016), 454-455

Beteiligte Personen und Organisationen
Pascual-Gallego, María
Alonso-Lera, Pedro
Arribi, Ana
Barcia, Juan
Marco, Javier

DOI
10.4103/1793-5482.145179
URN
urn:nbn:de:101:1-2022112413050434575378
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:33 MESZ

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Beteiligte

  • Pascual-Gallego, María
  • Alonso-Lera, Pedro
  • Arribi, Ana
  • Barcia, Juan
  • Marco, Javier

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