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Immunocompetent patient with a brain abscess caused by Nocardia beijingensis in Latin America: A case report.

ABSTRACT:

Rationale

Nocardia species are not commonly referred as primary infectious entities but rather as opportunistic pathogens. Infectious cases of Nocardia spp. in immunocompetent individuals are rare.

Patient concerns

An immunocompetent 58-year-old patient presented with recurrent headaches.

Diagnosis

A brain abscess was found and surgically drained. Matrix-assisted laser desorption ionization-time-of-flight mass spectrometry and heat shock protein 65/16S-23S rRNA gene intergenic spacer genotyping from the sample revealed the etiological agent as Nocardia beijingensis.

Interventions

Meropenem/amikacin/Trimethoprim-sulfamethoxazole were administered.

Outcomes

The infection persisted leading to the patient's death.

Lessons

Here we present the first case of N. beijingensis infection of the central nervous system in an immunocompetent patient from Latin America. Further inquiry is needed to establish whether this species is more virulent than other Nocardia isolates.

SUBMITTER: Solano-Varela DM

PROVIDER: S-EPMC6426588 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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