Multiple Brain Abscesses Due to Nocardia otitidiscaviarum: Case Report and Treatment Implications

被引：4

作者：

Einstein, Evan H. ^{[1
]}

Bonda, David ^{[1
]}

Khan, Salman ^{[2
]}

Zlochower, Avraham B. ^{[3
]}

D'Amico, Randy S. ^{[1
]}

机构：

[1] Donald & Barbara Zucker Sch Med Hofstra, Lenox Hill Hosp, Neurosurg, New York, NY 11549 USA

[2] Donald & Barbara Zucker Sch Med Hofstra, Lenox Hill Hosp, Infect Dis, New York, NY USA

[3] Donald & Barbara Zucker Sch Med Hofstra, Lenox Hill Hosp, Radiol, New York, NY USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 04期

关键词：

nocardia; brain abscess; nocardia otitidiscaviarum; intrathecal antibiotics; decompressive hemicraniectomy;

D O I：

10.7759/cureus.14362

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nocardia infections typically present in immunocompromised hosts. Brain abscesses caused by species such as Nocardia asteroides, farcinica, and abscessus are well-documented in the literature. We present a rare case of an immunocompetent patient with multiple brain abscesses due to Nocardia otitidiscaviarum requiring a decompressive fronto- temporoparietal craniectomy due to symptomatic intracranial hypertension. The patient was treated with intrathecal amikacin in addition to standard antibiotics with the resolution of the disease and good neurologic outcome. This is one of few case reports overall involving this species within the brain, and the second to report favorable outcomes. This case describes implications for treatment and adds to sparse literature regarding this particular pathogen.

引用

页数：8

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