Advertisement

Nocardial brain abscess in a renal transplant recipient

  • Ji Hoon Shin
    Affiliations
    Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea
    Search for articles by this author
  • Ho Kyu Lee
    Correspondence
    Corresponding author. Tel.: +82-2-3010-4380; fax: +82-2-476-0090
    Affiliations
    Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea
    Search for articles by this author

      Abstract

      Nocardial brain abscess is rare and accounts for about 1–2% of all cerebral abscesses. However, the early detection and treatment of it is very important because the mortality of it is three times higher than that of other bacterial brain abscesses. We report a case of nocardial brain abscess in a renal transplant recipient. Enhanced brain CT and MR scans showed multiple conglomerated ring-enhancing lesions with budding appearance and distinct surrounding edema.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sabeel A
        • Alrabiah F
        • Alfurayh O
        • Hassounah M
        Nocardial brain abscess in a renal transplant recipient successfully treated with triple antimicrobials.
        Clin Nephrol. 1998; 50: 128-130
        • Gupta SK
        • Manjunath-Prasad KS
        • Sharma BS
        • Khosla VK
        • Kak VK
        • Minz M
        • Sakhuja VK
        Brain abscess in renal transplant recipients: report of three cases.
        Surg Neurol. 1997; 48: 284-287
        • Hartmann A
        • Halvorsen CE
        • Jenssen T
        • Bjorneklett A
        • Brekke IB
        • Bakke SJ
        • Hirschberg H
        • Tonjum T
        • Gaustad P
        Intracerebral abscess caused by Nocardia otitidiscaviarum in a renal transplant patient-cured by evacuation plus antibiotic therapy.
        Nephron. 2000; 86: 79-83
        • Mamelak AN
        • Obana WG
        • Flaherty JF
        • Rosenblum ML
        Nocardial brain abscess: treatment strategies and factors influencing outcome.
        Neurosurgery. 1994; 35: 622-631
        • Ogg G
        • Lynn WA
        • Peters M
        • Curati W
        • McLaughlin JE
        • Shaunak S
        Cerebral nocardia abscesses in a patient with AIDS: correlation of magnetic resonance and white cell scanning images with neuropathological findings.
        J Infect. 1997; 35: 311-313
        • Pyhtinen J
        • Paakko E
        • Jartti P
        Cerebral abscess with multiple rims of MRI.
        Neuroradiology. 1997; 39: 857-859
        • Curry WA
        Human nocardiosis. A clinical review with selected case reports.
        Arch Intern Med. 1980; 140: 818-826
        • Fleetwood IG
        • Embil JM
        • Ross IB
        Nocardia asteroides cerebral abscess in immunocompetent hosts: report of three cases and review of surgical recommendation.
        Surg Neurol. 2000; 53: 605-610