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Nocardia Farcinica Mastoiditis and Epidural Abscess in an Immunocompetent Patient: A Rare Entity.
Gkrinia, Eleni; Bizaki-Vallaskangas, Argyro; Rautiainen, Markus; Kivekäs, Ilkka.
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  • Gkrinia E; Department of Ear and Oral Diseases and Otorhinolaryngology, 7840Tampere University, Tampere, Finland.
  • Bizaki-Vallaskangas A; ENT Department, University Hospital of Larissa and Department of Otorhinolaryngology - Head and Neck Surgery, University of Thessaly, Larissa, Greece.
  • Rautiainen M; Department of Ear and Oral Diseases and Otorhinolaryngology, 7840Tampere University, Tampere, Finland.
  • Kivekäs I; Department of Ear and Oral Diseases and Otorhinolaryngology, 7840Tampere University, Tampere, Finland.
Ear Nose Throat J ; : 1455613221139400, 2022 Dec 01.
Article en En | MEDLINE | ID: mdl-36453208
Nocardia is regarded as an opportunistic pathogen primarily affecting the respiratory system, whereas Nocardia farcinica is the species of the Nocardia family that is most frequently blamed for central nervous system impairment. The authors present the first case of mastoiditis caused by Nocardia farcinica, accompanied by intracranial complications. An immunocompetent 74-year-old woman who reported a three-week left ear discharge and a two-week facial nerve palsy was referred to our department. MRI revealed mastoiditis and epidural abscess. The bacterial cultures obtained during the surgical management of the patient confirmed the presence of Nocardia farcinica. Targeted antibiotic therapy was subsequently administrated, gradually resulting in favourable outcomes. Nocardia species provoke a disseminated infection that emerges not only among the immunosuppressed individuals but can also affect the healthy population. The nonspecific clinical manifestations in addition to the difficulties identifying the pathogen, remain obstacles to a punctual diagnosis. However, the combination of surgical debridement and antibiotic treatment with trimethoprim and sulfamethoxazole is considered the most appropriate management, leading to propitious results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ear Nose Throat J Año: 2022 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ear Nose Throat J Año: 2022 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Estados Unidos