Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Concurrent Nocardia Related Brain Abscess and Semi-Invasive Pulmonary Aspergillosis in an Immunocompetent Patient

  • Joung, Mi-Kyong (Division of Infectious Diseases, Samsung Medical center, Sungkyunkwan University School of Medicine) ;
  • Kong, Doo-Sik (Department of Neurosurgery, Samsung Medical center, Sungkyunkwan University School of Medicine) ;
  • Song, Jae-Hoon (Division of Infectious Diseases, Samsung Medical center, Sungkyunkwan University School of Medicine) ;
  • Peck, Kyong-Ran (Division of Infectious Diseases, Samsung Medical center, Sungkyunkwan University School of Medicine)
  • Received : 2010.07.09
  • Accepted : 2011.04.18
  • Published : 2011.05.28
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Abstract

We describe here the first case of a concurrent brain abscess caused by Norcardia spp. and semi-invasive pulmonary aspergillosis in an immunocompetent patient. After one year of appropriate antimicrobial therapy and surgical drainage of the brain abscess, the nocardia brain abscess and pulmonary aspergillosis have resolved.

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References

  1. Beaman BL, Beaman L : Nocardia species : host-parasite relationships. Clin Microbiol Rev 7 : 213-264, 1994
  2. Binder RE, Faling LJ, Pugatch RD, Mahasaen C, Snider GL : Chronic necrotizing pulmonary aspergillosis : a discrete clinical entity. Medicine (Baltimore) 61 : 109-124, 1982 https://doi.org/10.1097/00005792-198203000-00005
  3. Carter JM, Green WR, Callender CO, Peters B : Pulmonary cavitation with Nocardia and Aspergillus in a renal transplant patient. J Natl Med Assoc 82 : 527-528, 530-531, 1990
  4. Chedid MB, Chedid MF, Porto NS, Severo CB, Severo LC : Nocardial infections : report of 22 cases. Rev Inst Med Trop Sao Paulo 49 : 239-246, 2007
  5. Fellows GA, Kalsi PS, Martin AJ : Nocardia farcinica brain abscess in a patient without immunocompromise. Br J Neurosurg 21 : 301-303, 2007 https://doi.org/10.1080/02688690701365770
  6. Fleetwood IG, Embil JM, Ross IB : Nocardia asteroides cerebral abscess in immunocompetent hosts : report of three cases and review of surgical recommendations. Surg Neurol 53 : 605-610, 2000 https://doi.org/10.1016/S0090-3019(00)00242-1
  7. Hamadani M, Benson DM Jr, Blum W, Garzon R, Devine SM : Pulmonary Nocardia and Aspergillus co-infection in a patient with chronic graft-versus-host disease. Transpl Infect Dis 10 : 24-26, 2008 https://doi.org/10.1111/j.1399-3062.2007.00268.x
  8. Holt RI, Kwan JT, Sefton AM, Cunningham J : Successful treatment of concomitant pulmonary nocardiosis and aspergillosis in an immunocompromised renal patient. Eur J Clin Microbiol Infect Dis 12 : 110-112, 1993 https://doi.org/10.1007/BF01967584
  9. Ko JP, Kim DH, Shepard JA : Pulmonary aspergillosis in an immunocompetent patient. J Thorac Imaging 17 : 70-73, 2002 https://doi.org/10.1097/00005382-200201000-00009
  10. Malincarne L, Marroni M, Farina C, Camanni G, Valente M, Belfiori B, et al. : Primary brain abscess with Nocardia farcinica in an immunocompetent patient. Clin Neurol Neurosurg 104 : 132-135, 2002 https://doi.org/10.1016/S0303-8467(01)00201-3
  11. Menku A, Kurtsoy A, Tucer B, Yildiz O, Akdemir H : Nocardia brain abscess mimicking brain tumour in immunocompetent patients : report of two cases and review of the literature. Acta Neurochir (Wien) 146 : 411-414; discussion 414, 2004 https://doi.org/10.1007/s00701-004-0215-6
  12. Pieroth L, Winterkorn JM, Schubert H, Millar WS, Kazim M : Concurrent sino-orbital aspergillosis and cerebral nocardiosis. J Neuroophthalmol 24 : 135-137, 2004 https://doi.org/10.1097/00041327-200406000-00008

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