We present a case of Nocardia farcinica brain abscesses in an HIV-positive patient, initially misdiagnosed as cerebral toxoplasmosis. The correct diagnosis was eventually confirmed by brain biopsy. It is debatable as to whether surgical intervention is necessary for diagnosis and treatment of Nocardia abscesses. This case highlights the importance of early neurosurgical input and biopsy to aid correct and timely diagnosis.
FleetwoodIG, EmbilJM, RossIB. Nocardia asteroides cerebral abscess in immunocompetent hosts: report of three cases and review of surgical recommendations. Surg Neurol2000;53:605–10
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GuptaSK, Manjunath-PrasadKS, SharmaBS, Brain abscess in renal transplant recipients: report of three cases. Surg Neurol1997;48:284–87
