Disseminated Cerebral and Intradural Extramedullary Spinal Nocardiosis in an Immunocompetent Patient

Sharma, Meenal and Anthony, Chris and Hsu, Charlie Chia-Tsong and Maclean, Catriona and Martens, Niki (2015) Disseminated Cerebral and Intradural Extramedullary Spinal Nocardiosis in an Immunocompetent Patient. European Journal of Case Reports in Internal Medicine, 2 (4). pp. 1-4. ISSN 2284-2594

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Abstract

Disseminated nocardiosis of the central nervous system (CNS) has been rarely reported, especially in the immunocompetent patient. We report a case of cerebral and cervical intradural extramedullary nocardiosis likely to have been the result of disseminated spread from a pulmonary infective focus. Attempts at tissue biopsy and culture of the initial cerebral and pulmonary lesions both failed to yield the diagnosis. Interval development of a symptomatic intradural extramedullary cervical lesion resulted in open biopsy and an eventual diagnosis of nocardiosis was made. We highlight the diagnostic dilemma and rarity of spinal nocardial dissemination in an immunocompetent individual.

Item Type: Article
Uncontrolled Keywords: Nocardiosis, immunocompetent, central nervous system, spinal cord, magnetic resonance imaging
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia)
Depositing User: Chiara D'Arpa
Date Deposited: 14 Sep 2016 13:12
Last Modified: 14 Sep 2016 13:12
URI: http://eprints.bice.rm.cnr.it/id/eprint/15035

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