Doenças Neuroinfecciosas

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Nocardia Brain Abscess Masquerading as Tuberculous Brain Abscess

Goutham Krishna TC, Jerin K John, Aswathi Raveendran UV

Nocardia brain abscess is a rare clinical entity [1]. It accounts for 1%-2% of all cerebral abscesses [2]. It typically occurs in immunocompromised patients with impaired host defences usually cell mediated immunity but cases in immunocompetant hosts have also been reported [3].Cerebral nocardiosis is associated with highest mortality and morbidity among all brain abscess caused by microorganisms [4]. Nocardiosis is liable to be misdiagnosed owing to the non- specific clinical manifestations, laboratory and imaging findings. The most common variant affecting the brain is Nocardia farcinica. We report a rare case of brain abscess caused by Nocardia farcinica in a 36-year-old male.