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- Title
Nocardia Brain Abscess In A Patient With Advanced HIV-AIDS: Case Report.
- Authors
Usman, Muhammad; Mansoor, Valeed Bin; Akhtar, Nasim; Miraj, Muhammad Arqam
- Abstract
Nocardia is a gram-positive bacterium that causes localised and disseminated infections in immunosuppressed patients. Due to a long incubation period, it can go undiagnosed. Nocardiosis usually presents with pulmonary symptoms but can also spread to the Central Nervous System where it has been reported to show varying radiological presentations. Being aware that individuals infected with HIV are more susceptible to Nocardiosis is important as co-infection changes the management required to achieve better health outcomes. A rare case of Nocardia infection in an immunocompromised individual is presented. Our patient, a male, 44 years of age, who was HIV positive and on antiretroviral therapy, presented with an episode of generalized tonic-clonic fits along with left-sided weakness. MRI Imaging revealed a space-occupying lesion. Burr hole aspiration was performed and bacterial culture of the brain abscess showed growth of Nocardia. Treatment with cotrimoxazole and amikacin was started which showed positive results. If left untreated, Nocardiosis can lead to focal neurological deficits. Therefore clinicians need to consider a differential of Nocardiosis when they encounter a solitary space occupying a lesion in the brain of an immunocompromised individual.
- Subjects
BRAIN abscess; NOCARDIA; NOCARDIOSIS; MAGNETIC resonance imaging; CENTRAL nervous system; IMMUNOCOMPROMISED patients
- Publication
Journal of Rawalpindi Medical College, 2023, Vol 27, Issue 3, p549
- ISSN
1683-3562
- Publication type
Article
- DOI
10.37939/jrmc.v27i3.2252