First case of Nocardia nova spinal abscess in an immunocompetent patient

AUTOR(ES)

Hong, Seung Bok, Han, Kyudong, Son, Bo Ra, Shin, Kyeong Seob, Rim, Byeong Cheol

FONTE

Brazilian Journal of Infectious Diseases

DATA DE PUBLICAÇÃO

2012-04

RESUMO

Nocardia are a group of aerobic actinomycetes that are filamentous gram-positive, weakly acid-fast, and cause opportunistic infection in immunocompromised patients. Primary Nocardia infection mostly involves lung, skin and less commonly, the central nervous system (CNS). Among Nocardia CNS infections, spinal infection is extremely rare. We describe the first case of a spinal abscess caused by Nocardia nova in an immunocompetent patient who experienced a penetrating facial injury six months earlier. Nocardia species were isolated from intradural spinal abscesses and identified by 16S rRNA, hsp65 and secA1 sequence analyses. Surgical excision and treatment with amikacin, cefotaxime, and oral erythromycin was successful.

Documentos Relacionados

• A rare case of gastric mucormycosis in an immunocompetent patient
• An exceptional case report of disseminated cryptococcosis in a hitherto immunocompetent patient
• Subcutaneous phaeohyphomycosis due to Cladophialophora bantiana: a first case report in an immunocompetent patient in Latin America and a brief literature review
• Fatal Case of Campylobacter lari Prosthetic Joint Infection and Bacteremia in an Immunocompetent Patient
• Cryptococcoma mimicking a brain tumor in an immunocompetent patient: case report of an extremely rare presentation