relation: https://katalog.ukdw.ac.id/9235/
title: NOCARDIA LYMPHADENITIS AND ENCEPHALITIS IN IMMUNOCOMPROMISED PATIENT: A CASE REPORT
creator: Rizaldy Taslim Pinzon
creator: Tillandsia Filli Folia Primastuti
subject: RC0321 Ilmu Syaraf. Psikiatri Biologis. Psikiatri Syaraf
description: Background:  Nocardiosis-related HIV usually appears in immunocompromised patients, which is caused by Nocardia sp. Although a number of reports describe pulmonary forms of nocardiosis in HIV-positive patients, lymphadenitis and encephalitis due to this organism are rare entities. Our preliminary search has only found a few cases reported in the literature. Unless investigations like gram stain and culture for Nocardia are specifically done, the infection is often mistaken for tuberculosis. We have herein reported a case of Nocardia lymphadenitis and encephalitis in an HIV-positive patient.    Case Presentation:  A 33-year-old male presented fever, progressive weakness in the right side of the body, multiple lesions on the oral cavity, and left colli lesions. Physical examination found GCS as E4 M6 V uncounted, hypertonic and increased physiology reflexes on the right extremity without pathologic reflexes, meningeal signs, and all cranial nerves as normal. The laboratory test result was HIV-positive with CD4+ 7 cells/μL and Nocardia sp. on histopathology. A plain head computed tomography (CT) scan showed a hypodense lesion in the fronto-temporo-parieto-occipital sinistra region, and vasogenic edema. The patient was administered antiretroviral (ARV) therapy and antibiotics for nocardiosis lymphadenitis.    Conclusion:  A rare case of Nocardia lymphadenitis has been reported in this paper, and the physician must be aware of nocardiosis in HIV patients with neurological deficits.
publisher: Bentham Science Publishers B.V.
date: 2023-10-30
type: Article
type: PeerReviewed
format: text
language: en
identifier: https://katalog.ukdw.ac.id/9235/1/Nocardia%20Lymphadenitis%20and%20Encephalitis%20in%20Immunocompromised%20Patient.pdf
identifier:   Rizaldy Taslim Pinzon and Tillandsia Filli Folia Primastuti  (2023) NOCARDIA LYMPHADENITIS AND ENCEPHALITIS IN IMMUNOCOMPROMISED PATIENT: A CASE REPORT.  The Open Neurology Journal, 17.  pp. 1-4.  ISSN 1874-205X     
relation: http://dx.doi.org/10.2174/011874205X254011230922043119
relation: doi:10.2174/011874205X254011230922043119