An Acute Nocardia Asteroides Meningo-Encephalitis and Its Characteristics
Abstract
In a case of acute meningoencephalitis following a pyococcal tonsillopharyngitis and squeezing of a purulent focus in the throat, Nocardia asteroides was isolated from the cerebrospinal fluid. The disease began as meningoencephalitis, progressed to encephalitis, and despite apparent clinical improvement under systemic sulfonamide therapy, the patient succumbed to an acute brain hemorrhage likely caused by microabscesses. This case presents a rare etiology and pathogenetic course, and its distinctive features are emphasized.
Keywords
Nocardia asteroides, meningoencephalitis, fungal infection
Supporting Institution
Ankara University Faculty of Medicine, Department of Infectious Diseases
References
- 1 — Peabody, J. W., Seabury, J. H.: Actinomycosis and Nocardiosis. Amer. J. Med. 1960, 28, 99.
- 2 — Georg, K., Ajello, L., Mc Durmont, C., Hosty, T. S.: The identification of Nocardia asteroides and Nocardia brasiliensis. Amer. Rev. Res. Dis. 1961, 48, 337.
- 3 — Gordon, R. E., Mihm, J. M.: Identification of Nocardia cavial (Erikson) Nov. Comb. Am. N. Y. Acad. Med. 1962, 98, 628.
- 4 — Wegmann, T.: Therapie der system mykosen, Infection, 1973, 2, 88.
- 5 — Ouni, M.: Recherches experimentales avec la cortisone et la antibiotiques dans les staphylocosus.
- 6 — Grumbach, A., Kikuth, W.: G. Thieme B. I., 1969, 969.