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N. Paucivorans Infection Presenting as a Brain Abscess

Published online by Cambridge University Press:  02 December 2014

Shah-Naz Hayat Khan ,
Stephen E. Sanche ,
Christopher A. Robinson  and
Farhad Pirouzmand
Shah-Naz Hayat Khan*
Affiliation:
Division of Neurosurgery, Department of Surgery, Saskatoon Health Region, Saskatoon, SK, Canada
Stephen E. Sanche
Affiliation:
Division of Infectious Diseases, Department of Medicine, Department of Pathology, Saskatoon Health Region, Saskatoon, SK, Canada
Christopher A. Robinson
Affiliation:
Department of Pathology, Saskatoon Health Region, Saskatoon, SK, Canada
Farhad Pirouzmand
Affiliation:
Division of Neurosurgery, Sunnybrook and Women's College Health Science Centre, University of Toronto, Toronto, ON, Canada
*
Department of Neurosurgery,University of Cincinnati Medical Center, PO Box 670515, Cincinnati, Ohio, 45267-0515, U.S.A.
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We report an intracerebral abscess caused by a recently identified nocardial species, in an immunocompetent individual without extraneural involvement.

A 63-year-old non-smoking Caucasian male with an unremarkable history of hypertension, presented with a 2-week history of personality changes including apathy, some difficulty walking, a tendency to veer to the left and a possible seizure. Preliminary assessment, including laboratory investigations were unremarkable. Computed tomography (CT) of his brain revealed a right frontal lobe multi-loculated, ring-enhancing lesion with vasogenic edema and associated mass effect (Figure 1). He was then referred to our institution.

Type
Peer Reviewed Letter
Information
Canadian Journal of Neurological Sciences , Volume 33 , Issue 4 , November 2006 , pp. 426 - 427
Copyright
Copyright © The Canadian Journal of Neurological 2006

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