Brain abscess due to Nocardia
DOI:
https://doi.org/10.59156/revista.v39i01.511Keywords:
Abscess, Neurosurgery, Nocardia, TreatmentAbstract
Background: brain abscesses caused by Nocardia spp. are extremely rare and represents only 2% of all intracranial abscesses reported in literature.
Objectives: to analyze the case series of our institution and to report its regional incidence.
Methods: a retrospective and descriptive study of patients diagnosed with brain abscess due to Nocardia spp. was conducted between January 2021 and December 2022 at our institution.
Results: five patients with brain abscess due to Nocardia spp. were identified, with a mean age of 45.4 years (range: 29-61). These cases represented 55.55% of the brain abscesses treated in the analyzed period (n = 9). One hundred percent of the lesions were in the frontal lobe, with 60% in the precentral region. Eighty percent of patients had multiple lesions, while 20% had a single lesion. Three patients had associated lung lesions.
Conclusion: the incidence of brain abscesses due to Nocardia spp. in our case series (55.55%) was significantly higher than that reported in the literature (2%), highlighting the importance of considering this etiology in clinical practice. The treatment was successful in 60% of cases.
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References
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