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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| Published in: | Acta neurochirurgica Vol. 146; no. 4; pp. 411 - 414 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Austria
Springer Nature B.V
01-04-2004
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| Abstract | 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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| AbstractList | 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. 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.[PUBLICATION ABSTRACT] |
| Author | Tucer, B Kurtsoy, A Yildiz, O Menkü, A Akdemir, H |
| Author_xml | – sequence: 1 givenname: A surname: Menkü fullname: Menkü, A email: menkua@erciyes.edu.tr organization: Department of Neurosurgery, Erciyes University School of Medicine, Kayseri, Turkey. menkua@erciyes.edu.tr – sequence: 2 givenname: A surname: Kurtsoy fullname: Kurtsoy, A – sequence: 3 givenname: B surname: Tucer fullname: Tucer, B – sequence: 4 givenname: O surname: Yildiz fullname: Yildiz, O – sequence: 5 givenname: H surname: Akdemir fullname: Akdemir, H |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15057538$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | 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 |
| Title | Nocardia brain abscess mimicking brain tumour in immunocompetent patients: report of two cases and review of the literature |
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