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Nocardia thailandica Brain Abscess in an Immunocompromised Patient
Abstract
Objectives. Successful treatment for Nocardia thailandica is not well elucidated in the literature. To the best of our knowledge, N. thailandica has not yet been described in the medical literature to cause central nervous system (CNS) infection from brain abscess. We report the case of an immunocompromised patient who underwent successful treatment to treat his brain abscess caused by N. thailandica. Methods. After failing medical therapy, the patient underwent a craniotomy, and tissue was sent for culture. Upon identification by 16S rDNA sequencing, the organism causing infection was identified to be N. thailandica. Results. Based on susceptibilities, the patient was treated with IV ceftriaxone 2 grams daily for five months. The patient demonstrated clinical and radiological improvement which persisted to 7 months after initiation of therapy. Conclusions. To the best of our knowledge, this is the first documented case of a brain abscess due to N. thailandica which was successfully treated. Due to the location of the infection, ceftriaxone was chosen because of optimal CNS penetration. Ceftriaxone monotherapy demonstrated clinical and radiographic treatment success resulting in the successful treatment of this infection.
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“N. thailandica in particular is a rare species, linked to infections in humans in five reported cases [43].”
From Metaproteomic analysis of King Ghezo tomb wall (Abomey, Benin) confirms 19th century voodoo sacrifices (2024) · cites this paper as [43]
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“Although N. thailandica has not previously been reported in Africa, it appears to be distributed worldwide, having been detected in the USA, Japan, Iran, and India.”
From Metaproteomic analysis of King Ghezo tomb wall (Abomey, Benin) confirms 19th century voodoo sacrifices (2024) · cites this paper as [43]
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Research works printed but not linked: 12
- T. C. Sorrell, 2009, Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases
- 10.1128/cmr.19.2.259-282.2006 · DOI · Paper page
- 10.1128/jcm.02942-15 · DOI
- 10.1007/s11046-005-3050-2 · doi:10.1007/s11046-005-3050-2
- 10.1111/j.1469-0691.2009.03079.x · DOI · Paper page
- 10.1128/jcm.00959-15 · DOI · Paper page
- S. Bourbour, 2017, First report of the isolation of Nocardia thailandica from the bronchoalveolar lavage of a patient in Iran, Iranian Journal of Medical Sciences, 43, 560
- 10.1016/j.mayocp.2011.11.016 · doi:10.1016/j.mayocp.2011.11.016
- 10.3892/etm.2014.1715 · doi:10.3892/etm.2014.1715
- 10.1128/aac.02770-14 · doi:10.1128/aac.02770-14
- 10.1128/aac.01531-13 · DOI · Paper page
- 10.1128/cmr.00007-10 · DOI · Paper page
Cited by
Charlier, P., Bourdin, V., N'Dah, D., Kielbasa, M., Pible, O., & Armengaud, J. (2024) · PROTEOMICS · doi:10.1002/pmic.202400048 · Cited by 8
Metadata
- Authors
- Effendi, M., Tirmizi, S., McManus, D., Huttner, A. J., Peaper, D. R., & Topal, J. E.
- Affiliations
- Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers University, Piscataway, NJ, USA
- Department of Pharmacy, Yale New Haven Hospital, New Haven, CT, USA
- Department of Pathology, Yale School of Medicine, New Haven, CT, USA
- Department of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA
- ORCID
- Effendi, Muhammad
- Venue
- Case Reports in Infectious Diseases
- Publisher
- Wiley
- Published
- 2021-06-09
- Volume
- 2021
- Pages
- 1-4
- ISSN
- 2090-6633
- 2090-6625
- PMC
- PMC8216818
- Cited by
- 3
- References
- 0
- Language
- en
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- Effendi, M., Tirmizi, S., McManus, D., Huttner, A. J., Peaper, D. R., & Topal, J. E. (2021). Nocardia thailandica Brain Abscess in an Immunocompromised Patient. Case Reports in Infectious Diseases. https://doi.org/10.1155/2021/6620049
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