免疫功能正常的支气管扩张患者的脑脓肿

Q4 Medicine

Archivos de Neurociencias Pub Date : 2021-10-04 DOI:10.31157/archneurosciencesmex.v26i3.264

A. Camiro-Zúñiga, A. Rodriguez-Alcocer, Juan Steta-Orozco, Javier Tejeda-Maldonado, Luis Espinosa-Aguilar, Maria Alejandra González-Patiño, Estefanía Murrieta-Peralta, J. Romero-Figueroa, J. Calleja-Castillo

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引用次数: 0

摘要

一个56岁的妇女提出了新发作局灶性癫痫病史的支气管扩张。脑脓肿经磁共振诊断。她被证实免疫功能正常，排除了组织浆菌病、肺结核和感染性心内膜炎。从脑脓肿中分离到诺卡菌，经16S rRNA测序鉴定为脓肿诺卡菌复合体。出院时使用甲氧苄啶/磺胺甲恶唑。诺卡菌是支气管扩张等肺结构性疾病患者脑脓肿的病因。诺卡菌鉴定是至关重要的，因为它不是经验性抗菌治疗。

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Nocardia abscessus brain abscess in an immunocompetent patient with bronchiectasis

A 56 year-old woman presented with new onset focal seizure with a history of bronchiectasis. Brain abscess was diagnosed by magnetic resonance. She was confirmed to be immunocompetent and had histoplasmosis, tuberculosis, and infective endocarditis ruled out. Nocardia sp. was isolated from the brain abscess and identified as Nocardia abscessus complex by 16S rRNA sequencing. She was discharged on trimethoprim/sulfamethoxazole. Nocardia sp. is a cause of brain abscesses in patients with underlying pulmonary structural disease like bronchiectasis. Nocardia identification is of paramount importance as it is not treated with empiric antimicrobial therapy.

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来源期刊

Archivos de Neurociencias Medicine-Neurology (clinical)

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： La revista Archivos de Neurociencias es una publicación trimestral que bajo el patrocinio del Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, se dedica a publicar artículos relacionados con las neurociencias, tanto nacionales como extranjeros procurando tener una estricta relación con los interesados en áreas afines de habla hispana. De 1966 a 1980 apareció como Revista del Instituto Nacional de Neurología. De 1986 a 1995 apareció como Archivos del Instituto Nacional de Neurología y Neurocirugía.