Nocardial brain abscesses in a HIV positive patient misinterpreted as tubercular brain abscesses.

Mukhopadhyay, Chiranjoy; Sahu, Ravi Narayan; Ayyagari, Archana

Nocardial brain abscesses in a HIV positive patient misinterpreted as tubercular brain abscesses.

Date

2005-06-22

Authors

Mukhopadhyay, Chiranjoy

Sahu, Ravi Narayan

Ayyagari, Archana

Abstract

We present a case of nocardial (Nocarda transvalensis) brain abscesses in a HIV infected person with CD4 count of 53 cells/ml, who received antitubercular therapy for one year. A magnetic resonance imaging study showed multiple ring-enhancing lesions in right parieto-occipital parenchymal region along with perilesional edema and mass effect. Right posterior temporal burr hole aspiration of the abscesses and postoperative cotrimoxazole and ampicillin-sulbactum therapy cured the patient. It is a case of HIV infection with rare and sole manifestation of multiple cerebral abscesses due to N. transvalensis.

Description

Nepal Medical College Journal.

Citation

Mukhopadhyay C, Sahu RN, Ayyagari A. Nocardial brain abscesses in a HIV positive patient misinterpreted as tubercular brain abscesses. Nepal Medical College Journal. 2005 Jun; 7(1): 74-6