Nocardia brain abscess

Case contributed by Dr Foroogh Jafari Mousavi

Presentation

73 year old female with profound IgA defeciency and common variable immunodeficiency.

Patient Data

Age: 73
Gender: Female
Modality: CT

There are multiple ring enhancing lesions scattered throughout the brain (cerebral hemispheres, cerebellum and midbrain) with associated area of vasogenic edema in keeping with abscesses.

Small focus of acute haemorrhage 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. 

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Case Information

rID: 46871
Case created: 21st Jul 2016
Last edited: 16th Aug 2016
Inclusion in quiz mode: Included

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