Mukhopadhyay, ChiranjoySahu, Ravi NarayanAyyagari, Archana2009-05-282009-05-282005-06-22Mukhopadhyay 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): 74-6http://imsear.searo.who.int/handle/123456789/46796Nepal Medical College Journal.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.engAIDS-Related Opportunistic Infections --diagnosisAdultBrain Abscess --diagnosisDiagnostic ErrorsHumansMaleNocardia Infections --diagnosisTuberculosis, Meningeal --diagnosisCase Reports