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Case Reports
. 2011 Oct;50(4):396-8.
doi: 10.3340/jkns.2011.50.4.396. Epub 2011 Oct 31.

Nocardia brain abscess in a liver transplant recipient

Affiliations
Case Reports

Nocardia brain abscess in a liver transplant recipient

Jung Hyeon Moon et al. J Korean Neurosurg Soc. 2011 Oct.

Abstract

Nocardia brain abscess is rare. We report on a unique case of N. farcinica brain abscess in a liver transplant recipient, following Aspergillus fumigatus pneumonia. A 43-year-old liver transplant recipient presented with altered mentality at 2 months after A. fumigates pneumonia. He was successfully treated with surgical removal and antibiotic therapy with trimethoprim-sulfamethoxazole and ceftriaxone.

Keywords: Brain abscess; Liver transplant; Nocardia.

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Figures

Fig. 1
Fig. 1
A : Brain magnetic resonance (MR) imaging. A multiloculated rim-enhancing lesion with perilesional edema is observed in the right occipital lobe with a significant mass effect. B : Follow-up MR imaging. There is no residual enhancing lesion and no edema in the right occipital lobe at 2 months after operation.
Fig. 2
Fig. 2
Pathologic examination of brain tissue. There is chronic active inflammation with reactive gliosis (H&E staining, ×400).

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