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Primary Nocardia farcinica brain abscess with secondary meningitis and ventriculitis in an immunocompetent patient, successfully treated with moxifloxacin

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Summary

We report a rare case of Nocardia farcinica occipital brain abscess in an immunocompetent patient with no underlying risk factors successfully treated with the antibiotic moxifloxacin. The patient underwent craniotomy and abscess drainage. Initial post-operative treatment with co-trimoxazole produced a limited response. Despite the development of skull base meningitis and ventriculitis subsequent addition of moxifloxacin produced an excellent outcome.

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References

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Authors and Affiliations

  1. Department of Clinical Neurosurgery, The Walton Centre for Neurology and Neurosurgery NHS Trust, Liverpool, UK

    J. Kandasamy, H. J. Iqbal & P. R. Eldridge

  2. Department of Clinical Microbiology, University Hospital Aintree, Liverpool, UK

    R. P. D. Cooke

Authors
  1. J. Kandasamy
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  2. H. J. Iqbal
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  3. R. P. D. Cooke
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  4. P. R. Eldridge
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Additional information

Correspondence: Dr. R. P. D. Cooke, FRCPath, Department of Clinical Microbiology, University Hospital Aintree, Lower Lane, Fazakerley, Liverpool L9 7AL, UK.

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Kandasamy, J., Iqbal, H., Cooke, R. et al. Primary Nocardia farcinica brain abscess with secondary meningitis and ventriculitis in an immunocompetent patient, successfully treated with moxifloxacin. Acta Neurochir (Wien) 150, 505–506 (2008). https://doi.org/10.1007/s00701-008-1578-x

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  • DOI: https://doi.org/10.1007/s00701-008-1578-x

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