Nocardia brain abscess mimicking brain tumour in immunocompetent patients: report of two cases and review of the literature


Menku A., Kurtsoy A. , Tucer B. , Yildiz O. , Akdemir H.

ACTA NEUROCHIRURGICA, cilt.146, ss.411-414, 2004 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 146 Konu: 4
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1007/s00701-004-0215-6
  • Dergi Adı: ACTA NEUROCHIRURGICA
  • Sayfa Sayıları: ss.411-414

Özet

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.