Meningitis and Ventriculitis due to Nocardia araoensis Infection

A 73-year-old man was admitted to our hospital with disturbance of consciousness, fever and headache. Cerebrospinal fluid (CSF) analysis revealed pleocytosis with neutrophil predominance, increased protein and low glucose. CSF and blood cultures yielded negative results. Antibiotics and antitubercul...

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Detalles Bibliográficos
Autores principales: Yamamoto, Fumio, Yamashita, Satoshi, Kawano, Hiroyuki, Tanigawa, Tomio, Mihara, Yosuke, Gonoi, Toru, Ando, Yukio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457932/
https://www.ncbi.nlm.nih.gov/pubmed/28381755
http://dx.doi.org/10.2169/internalmedicine.56.7332
Descripción
Sumario:A 73-year-old man was admitted to our hospital with disturbance of consciousness, fever and headache. Cerebrospinal fluid (CSF) analysis revealed pleocytosis with neutrophil predominance, increased protein and low glucose. CSF and blood cultures yielded negative results. Antibiotics and antituberculous drugs were started for meningitis. An antimycotic was also added. The patient died from transtentorial hernia 99 days after admission. Autopsy revealed meningitis, ventriculitis and brain abscess, and Nocardia araoensis was detected in pus from the left lateral ventricle. This appears to represent the first report of N. araoensis meningitis complicated by ventriculitis and brain abscess.

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