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Clinical Pathway in the Treatment of Nocardial Brain Abscesses following Systemic Infections
Joint Authors
Wang, Tse-Lun
Zheng, Yun-Cong
Hsu, Jee-Ching
Hsu, Yung-Hsing
Hsu, Wen-Hsing
Wang, Chih-Liang
Kwan, Aij-Lie
Lin, Chih-Lung
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-28
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Nocardial infections are commonly encountered in patients with immunocompromised states.
Cerebral nocardiosis is an uncommon clinical entity, representing only 2% of all cerebral abscesses.
It has a higher mortality rate, especially for multiple cerebral lesions in immunocompromised hosts following systemic infections.
However, an optimal treatment policy to deal with these immunocompromised patients in Asia is still lacking.
We retrospectively reviewed the subjects with nocardial brain abscesses from 2001 to 2011 at our medical center.
All of them had multiple brain abscesses, underlying with immunocompromised state following systemic infections.
All cases were under steroid control due to their comorbidities for more than six months.
The comorbidities and misdiagnosis often lead to poor prognosis.
The change in the environments of the microorganisms caused by immunosuppressive agents and multiple antibiotic uses may play an important role in this critical disorder.
Aggressive craniotomy should be performed in time to avoid grievous neurological outcomes.
Our conclusion is that early diagnosis and appropriate antibiotic uses should be implemented promptly, and aggressive craniotomy should be performed for nocardial brain abscesses in subjects with systemic infections under an immunocompromised status.
American Psychological Association (APA)
Zheng, Yun-Cong& Wang, Tse-Lun& Hsu, Jee-Ching& Hsu, Yung-Hsing& Hsu, Wen-Hsing& Wang, Chih-Liang…[et al.]. 2014. Clinical Pathway in the Treatment of Nocardial Brain Abscesses following Systemic Infections. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1034825
Modern Language Association (MLA)
Zheng, Yun-Cong…[et al.]. Clinical Pathway in the Treatment of Nocardial Brain Abscesses following Systemic Infections. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1034825
American Medical Association (AMA)
Zheng, Yun-Cong& Wang, Tse-Lun& Hsu, Jee-Ching& Hsu, Yung-Hsing& Hsu, Wen-Hsing& Wang, Chih-Liang…[et al.]. Clinical Pathway in the Treatment of Nocardial Brain Abscesses following Systemic Infections. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1034825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034825