Resolution of innumerable cerebral Nocardia paucivorans abscesses after medical management.

Journal Article (Journal Article)

Nocardia species are an infrequent cause of brain abscesses. We report a 50-year-old man with Nocardia paucivorans cerebral abscesses. Brain MRI revealed innumerable small ring-enhancing lesions. The patient initially responded to treatment with antibiotics and steroids, but experienced worsening after discontinuation of steroids. Brain biopsy performed to exclude central nervous system lymphoma produced nodular tissue with branching filaments on silver stain. Steroids were re-initiated and tapered slowly. The patient completed 1year of antibiotic therapy, after which he had no neurological symptoms and complete resolution of all brain abscesses on MRI.

Full Text

Duke Authors

Cited Authors

  • Delavari, N; Than, KD; Chen, KS; McKeever, PE; Wang, AC; Pandey, AS

Published Date

  • May 2016

Published In

Volume / Issue

  • 27 /

Start / End Page

  • 175 - 177

PubMed ID

  • 26765763

Electronic International Standard Serial Number (EISSN)

  • 1532-2653

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2015.10.028


  • eng

Conference Location

  • Scotland