Multidrug-resistant novel Nocardia neocaledoniensis brain abscess in sarcoidosis.
Kasturi HazarikaRasmi Ranjan SahooDigvijay EkboteAjai Kumar DixitRungmei S MarakAnupam WakhluPublished in: BMJ case reports (2021)
Central nervous system nocardiosis is a rare, life-threatening infection seen commonly in immunocompromised individuals. Nocardia neocaledoniensis is a novel species seldom causing infections in humans. We describe a patient of sarcoidosis on immunosuppression, who presented with altered sensorium due to a frontal lobe abscess secondary to N. neocaledoniensis infection. Despite appropriate and adequate antibiotic coverage, and timely surgical intervention, the patient succumbed to her illness on day 6 of hospitalisation. This case warrants the consideration of novel infections in patients on immunosuppression and the need for aggressive management.
Keyphrases
- multidrug resistant
- end stage renal disease
- case report
- chronic kidney disease
- randomized controlled trial
- ejection fraction
- newly diagnosed
- prognostic factors
- peritoneal dialysis
- functional connectivity
- drug resistant
- patient reported outcomes
- acinetobacter baumannii
- working memory
- resting state
- respiratory failure
- brain injury
- patient reported
- klebsiella pneumoniae
- acute respiratory distress syndrome