Keywords
Nocardiosis, Nocardia otitidiscaviarum, Intracranial mycotic aneurysm
Abstract
We are reporting a case of disseminated Nocardia otitidiscaviarum infection, manifesting as a ruptured intracranial aneurysm in an immunocompromised patient. The patient succumbed despite treatment with trimethoprim-sulfamethoxazole, amikacin, and levofloxacin along with surgical repairment. Nocardiosis should be one of the differential diagnoses for intracranial mycotic aneurysm among immunocompromised individuals.
Running title: Nocardia intracranial aneurysm
References
- Kageyama A, Yazawa K, Ishikawa J, Hotta K, Nishimura K, Mikami Y. Nocardial infections in Japan from 1992 to 2001, including the first report of infection by Nocardia transvalensis. Eur J Epidemiol. 2004;19:383-389.
- Ishihara M, Takada D, Sugimoto K, et al. Primary brain abscess caused by Nocardia otitidiscaviarum. Intern Med. 2014;53(17):2007-12.
- Corti ME, Villafañe-Fioti MF. Nocardiosis: a review. Int J Infect Dis. 2003;7:243-50.
- Alawieh A, Chaudry M, Turner RD, Turk A0, Spiotta AM. Infectious intracranial aneurysms: a systematic review of epidemiology, management, and outcomes. J NeuroIntervent Surg. 2018;0:1-10.
- Parengal J, Alebbi SM, Hamed MMM, Alqatami HM. Disseminated life threatening Nocardia otitidiscaviarum infection in a young female with newly diagnosed systemic lupus erythematosus, case report and review of literature. IDCases. 2021;26:e01265.
- Farran Y, Antony S. Nocardia abscessusrelated intracranial aneurysm of the internal carotid artery with associated brain abscess: a case report and review of the literature. J Infect Public Health. 2016;9(3):358-61.
- Chansirikarnjana S, Apisarnthanarak A, Suwantarat N, et al. Nocardia intracranial mycotic aneurysm associated with proteasome inhibitor. IDCases. 2019;8:e00601.
- Hadley MN, Robert MD, Spetzler F, Martin NA, Johnson PC. Middle cerebral artery aneurysm due to Nocardia asteroides: case report of aneurysm excision and extracranial-intracranial bypass. Neurosurgery. 1988;22(5):923-8.
- Duangprasert G, Kebboonkird D, Ratanavinitkul W, Tantongtip D. A rare case of ruptured anterior cerebral artery infected aneurysm with angioinvasion secondary to disseminated Nocardia otitidiscaviarum: A case report and literature review. Surgical Neurology International. 2022;13:417.
- Betrán A, Villuendas MC, Rezusta A, et al. Cavitary pneumonia caused by Nocardia otitidiscaviarum. Braz J Microbiol. 2010;41:329-32.
Recommended Citation
Pongkaew, Chaiwat; Apisarnthanarak, Anucha; Khawcharoenporn, Thana; Suwantarat, Nuntra; Rutjanawech, Sasinuch; Damronglert, Pansachee; and Visuttichaikit, Suttichai.
2024
Disseminated Nocardiosis with Intracranial Mycotic Aneurysm in A Patient with Autoimmune Hepatitis: A Case Report and Review of The Literature.
Asian Medical Journal and Alternative Medicine. 24,
1 (Apr. 2024), 77-82.
Available at: https://doi.org/10.70933/2773-9465.1053
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