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| Formato: | Artículo científico |
| Lenguaje: | en |
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Centro Nacional de Investigaciones Científicas
2020
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| Acceso en línea: | https://www.redalyc.org/articulo.oa?id=181272272008 https://www.redalyc.org/journal/1812/181272272008/ https://www.redalyc.org/journal/1812/181272272008/html/ https://www.redalyc.org/journal/1812/181272272008/181272272008.epub https://www.redalyc.org/journal/1812/181272272008/movil |
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- Brain nocardiosis: presentation of a case Marianela Arteche Prior Javier Vicente Sánchez López Concepción Ariosa Acuña Adnolys Reyes Berazaín Héctor Gómez Suárez Sergio Felipe Mendoza Álvarez Augusto González Pérez Julio César Fernández Travieso Biología nocardia infection Cerebral Nocardiosis central nervous system antimicrobial treatment The bacteria of the genus Nocardia are Gram positive, aerobic, partially acid resistant microorganisms, which in most cases are acquired by inhalation or inoculation through the skin. Hematic dissemination can compromise the Central Nervous System in the form of intra-parenchymal abscesses. Cerebral nocardiosis is a rare condition, it represents 2% of brain abscesses, is usually present in immunocompromised patients and is very rare in immunocompetent patients. It evolves with significant morbidity and mortality. The objective of this work was to characterize a patient with general and neurological symptoms as a form of presentation of a Nocardiosis with involvement at the cerebral vascular level. The case of a 59 year old patient is presented, with vascular risk factors such as hypertension, diabetes mellitus, left carotid atheromatosis demonstrated by Doppler of the Supra Aortic Trunks and a history of harmful toxic habits such as excessive alcohol intake, and malnutrition, In addition, presenting a general syndrome associated with a picture of focal neurological deficit and respiratory and abdominal manifestations, several diseases were suspected such as cerebral tuberculosis, neurosyphilis and other sepsis due to opportunistic and atypical germs that cause secondary vasculitis the possibility of encephalitis or lymphoma secondary to HIV infection was also considered. It is concluded that our patient was characterized as a carrier of a non-atherosclerotic cerebral vascular occlusion in the course of a systemic infection by asteroid Nocardia associated with an immunodeficiency secondary to chronic liver disease and the recommended antimicrobial treatment for this disease was satisfactory. 2020 artículo científico 0253-5688 https://www.redalyc.org/articulo.oa?id=181272272008 https://www.redalyc.org/journal/1812/181272272008/ https://www.redalyc.org/journal/1812/181272272008/html/ https://www.redalyc.org/journal/1812/181272272008/181272272008.epub https://www.redalyc.org/journal/1812/181272272008/movil en http://www.redalyc.org/revista.oa?id=1812 Revista CENIC. Ciencias Biológicas application/pdf Centro Nacional de Investigaciones Científicas Revista CENIC. Ciencias Biológicas (Cuba) Num.1 Vol.51