Disseminated Cerebral and Intradural Extramedullary Spinal Nocardiosis in an Immunocompetent Patient

  • Meenal Sharma Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia
  • Chris Anthony St Vincents Hospital Sydney
  • Charlie Chia-Tsong Hsu Department of Medicine, Alfred Hospital, Melbourne, Victoria, Australia
  • Catriona Maclean Department of Anatomical Pathology, Alfred Hospital, Melbourne, Victoria, Australia
  • Niki Martens Department of Neurosurgery, Alfred Hospital, Melbourne, Victoria, Australia

Keywords

Nocardiosis, immunocompetent, central nervous system, spinal cord, magnetic resonance imaging.

Abstract

Disseminated nocardiosis of the central nervous system (CNS) has been rarely reported, especially in the immunocompetent patient. We report a case of cerebral and cervical intradural extramedullary nocardiosis likely to have been the result of disseminated spread from a pulmonary infective focus. Attempts at tissue biopsy and culture of the initial cerebral and pulmonary lesions both failed to yield the diagnosis.
Interval development of a symptomatic intradural extramedullary cervical lesion resulted in open biopsy and an eventual diagnosis of nocardiosis was made.

We highlight the diagnostic dilemma and rarity of spinal nocardial dissemination in an immunocompetent individual.

Author Biographies

Chris Anthony,
St Vincents Hospital Sydney

Advanced Trainee

Department of Cardiology

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  • Published: 2015-07-02

    Issue: Vol 2 No 4 (2015) (view)

    Section: Articles

    How to cite:
    Sharma, M., Anthony, C., Hsu, C. C.-T., Maclean, C., & Martens, N. (2015). Disseminated Cerebral and Intradural Extramedullary Spinal Nocardiosis in an Immunocompetent Patient. European Journal of Case Reports in Internal Medicine, 2(4). https://doi.org/https://doi.org/10.12890/2015_000207