Presentation
Profound IgA defeciency and common variable immunodeficiency.
Patient Data
Age: 75 years
Gender: Female
From the case:
Nocardia brain abscess
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There are multiple ring-enhancing lesions scattered throughout the brain (cerebral hemispheres, cerebellum and midbrain) with associated areas of vasogenic edema in keeping with abscesses.
A small focus of acute hemorrhage in the right frontal lobe adjacent to the craniotomy flap is seen which is secondary to brain biopsy.
Case Discussion
The brain biopsy showed necrotic abscesses containing filamentous micro-organisms in keeping with Nocardia species.