Nocardiosis is an acute or chronic infectious disease caused by the soil-borne filamentous bacteria belonging to the genus Nocardia. The organisms opportunistically infect both immunocompromised and immunocompetent individuals. The lungs are the primary site of infection and brain abscess is, by far, the most common complication following nocardial metastasis from pulmonary lesions. Although surgical intervention must always be considered in the treatment of nocardial brain abscess, it can obviously be cured by antibiotic therapy alone. This report describes a case infected by Nocardia cyriacigeorgica. Identification of the infectious agent was achieved by conventional and semi-nested PCR techniques. A 55-year-old woman with fever was referred to the infect disclinic of Imam Khomeini hospital in Tehran and was hospitalized after clinical assessment. She was a kidney transplant recipient for 4 years and was taking immunosuppressive treatment including azathioprine and methylprednisolone. Follow-up of the patient by CT scan revealed pulmonary infection and cerebral lesions. Specimens of the brain lesions contained filamentous bacteria. The patient received a combination of co-trimoxazole and ceftriaxone and brain abscesses as well as lung inflammation disappeared gradually during the course of antibiotic therapy within 3 months. The patient was discharged from the hospital after 2 months of therapy.
- MeSH
- absces mozku komplikace farmakoterapie mikrobiologie radiografie MeSH
- antiinfekční látky aplikace a dávkování terapeutické užití MeSH
- DNA fungální chemie genetika MeSH
- hostitel s imunodeficiencí MeSH
- kombinace léků trimethoprim a sulfamethoxazol aplikace a dávkování terapeutické užití MeSH
- lidé středního věku MeSH
- lidé MeSH
- Nocardia genetika izolace a purifikace MeSH
- nokardióza komplikace farmakoterapie mikrobiologie radiografie MeSH
- polymerázová řetězová reakce MeSH
- RNA ribozomální 16S chemie genetika MeSH
- sekvenční analýza DNA MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Írán MeSH
