A Case of Nocardia farcinica Brain Abscess in a Focal Segmental Glomerulosclerosis Patient after Steroid Treatment

Korean Journal of Nephrology 2011;30(1):98-101.

Han Seung Tae1, Kim Young Sub1, Song Shin Han1, Uh Young2, Han Byoung Geun1, Choi Seung Ok1, and Yang Jae Won1

Department of Internal Medicine¹
Laboratory Medicine²
Yonsei University Wonju College of Medicine

증례 : 국소 분절 사구체 경화증 환자에서 발생한 Nocardia farcinica 뇌 농양 1예

한승태1, 김영섭1, 송신한1, 어 영2, 한병근1, 최승옥1, 양재원1

연세대학교 원주의과대학 내과학교실1, 진단검사의학교실2

Abstract

Nocardia is an opportunistic pathogen that can cause disseminated disease in serious immunosuppressive patients with organ transplantation, advanced HIV infection, malignancy or long-term corticosteroid use. Cerebral nocardiosis constitutes the most severe form of Nocardial infection. Early detection and treatment of cerebral abscess of Nocardia is important because the mortality is three times higher than that of other bacterial cerebral abscesses. We report a case of N. farcinica brain abscess in a focal segmental glomerulosclerosis (FSGS) patient after steroid treatment.

Key Words: Nocardia infections, Brain abscess, Steroids