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Multiple rim-enhancing brain lesions and pulmonary cavitary nodules as the presentation of < em > Nocardia cyriacigeorgica < /em > in a patient with non-small cell lung cancer
We present a case of a 67-year-old veteran with stage IV adenocarcinoma of the lung undergoing chemotherapy who presented with new cavitary pulmonary lesions. Three weeks into his hospitalization, a sputum culture with acid-fast staining returned positive for Nocardia cyriacigeorgica. A subsequent computed tomography scan of the head demonstrated numerous rim-enhancing lesions presumed to be due to disseminated nocardiosis with central nervous system involvement. Disseminated nocardiosis has a high mortality rate, making prompt detection and treatment paramount for these patients. Our case highlights the importance of cons...
Source: Baylor University Medical Center Proceedings - June 27, 2022 Category: Universities & Medical Training Authors: Alexis Bejcek Justin Owens Aditi Marella Aneesh George Source Type: research