TY  - JOUR
VL  - 17
SP  - 1
AV  - public
N2  - 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/?L 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.
SN  - 1874-205X
UR  - http://dx.doi.org/10.2174/011874205X254011230922043119
KW  - Encephalitis
KW  -  HIV
KW  -  Nocardia sp.
KW  -  CD4+ 7 cells
KW  -  colli lesions
KW  -  HIV-positive
A1  - Rizaldy Taslim Pinzon
A1  - Tillandsia Filli Folia Primastuti
PB  - Bentham Science Publishers B.V.
ID  - katalog9235
JF  - The Open Neurology Journal
TI  - NOCARDIA LYMPHADENITIS AND ENCEPHALITIS IN IMMUNOCOMPROMISED PATIENT: A CASE REPORT
EP  - 4
Y1  - 2023/10/30/
ER  -