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From
Intracranial Nocardiosis a Rare Condition: A Case Report
Neeraj Salhotra, Mahmood Al Hattali, Livingston C., Nawal Al Kindy, Amal Al Jabri, Jospaul Lukas, Kauther Al Zakwani, Yasir Ahmad Fouad Al-jubouri
American Journal of Medical Case Reports
.
2021
, 9(5), 295-297 doi:10.12691/ajmcr-9-5-9
Fig
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1
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T2WI, B-FLAIR, C-T1WI, D-DWI, E-ADC, F-SWI, G- Post contrast T1WI. Peripherally rim enhancing lobulated lesion with central diffusion restriction is seen in the left cerebellar hemisphere. The dual rim sign suggestive of an abscess is seen on T2WI and SWI. Mass effect with effacement of the adjacent sulcal spaces, 4th ventricle, the left CP angle cistern and mild tonsilar descent.
Full size figure and legend
Fig
ure
2
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Actual images of the isolate including gram stain from the growth, modified ZN stain and isolate growth on both blood and chocolate agars showing
nocardia farcinica
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Fig
ure
3
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Follow up CT following craniotomy, evacuation of the abscess and antibiotics
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