Nocardia abscessus brain abscess in an immunocompetent patient with bronchiectasis

Authors

  • Antonio Camiro-Zúñiga Centro Médico ABC
  • Alma Nelly Rodriguez-Alcocer Centro Médico ABC, Mexico City, Mexico.
  • Juan Steta-Orozco Centro Médico ABC, Mexico City, Mexico.
  • Javier Tejeda-Maldonado Centro Médico ABC, Mexico City, Mexico.
  • Luis Espinosa-Aguilar Centro Médico ABC, Mexico City, Mexico.
  • Maria Alejandra González-Patiño Centro Medico ABC
  • Estefania Murrieta-Peralta Centro Médico ABC, Mexico City, Mexico.
  • José Ángel Romero-Figueroa Centro Médico ABC, Mexico City, Mexico.
  • Juan Calleja-Castillo Instituto Nacional de Neurologia y Neurocirugia “Manuel Velasco Suárez"

DOI:

https://doi.org/10.31157/an.v26i3.264

Keywords:

Brain abscess, Nocardial infection, Bronchiectasis

Abstract

A 56 year-old woman presented with new onset focal seizure with a history of bronchiectasis. Brain abscess was diagnosed by magnetic resonance. She was confirmed to be immunocompetent and had histoplasmosis, tuberculosis, and infective endocarditis ruled out. Nocardia sp. was isolated from the brain abscess and identified as Nocardia abscessus complex by 16S rRNA sequencing. She was discharged on trimethoprim/sulfamethoxazole. Nocardia sp. is a cause of brain abscesses in patients with underlying pulmonary structural disease like bronchiectasis. Nocardia identification is of paramount importance as it is not treated with empiric antimicrobial therapy.

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Published

2021-10-04

How to Cite

Camiro-Zúñiga, A., Rodriguez-Alcocer, A. N. ., Steta-Orozco, J., Tejeda-Maldonado, J. ., Espinosa-Aguilar, L. ., González-Patiño, M. A., Murrieta-Peralta, E. ., Romero-Figueroa, J. Ángel ., & Calleja-Castillo, J. . (2021). Nocardia abscessus brain abscess in an immunocompetent patient with bronchiectasis. Archivos De Neurociencias, 26(3). https://doi.org/10.31157/an.v26i3.264

Issue

Section

Case report