1. A rare case of isolated cauda equina Nocardia farcinica infection.
- Author
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Chakraborty T, Vyas M, Goyal A, and Madan VS
- Subjects
- Adult, Cauda Equina diagnostic imaging, Cauda Equina microbiology, Cauda Equina surgery, Cauda Equina Syndrome diagnostic imaging, Cauda Equina Syndrome drug therapy, Cauda Equina Syndrome surgery, Decompression, Surgical methods, Humans, Laminectomy methods, Low Back Pain diagnostic imaging, Low Back Pain drug therapy, Low Back Pain surgery, Magnetic Resonance Imaging, Male, Meropenem therapeutic use, Nocardia drug effects, Nocardia growth & development, Nocardia pathogenicity, Nocardia Infections diagnostic imaging, Nocardia Infections drug therapy, Nocardia Infections surgery, Paraplegia diagnostic imaging, Paraplegia drug therapy, Paraplegia surgery, Treatment Outcome, Trimethoprim, Sulfamethoxazole Drug Combination therapeutic use, Anti-Bacterial Agents therapeutic use, Cauda Equina drug effects, Cauda Equina Syndrome microbiology, Low Back Pain microbiology, Nocardia Infections microbiology, Paraplegia microbiology
- Abstract
Nocardia is a Gram-positive, partially acid-fast, catalase-positive, and urease-positive bacterium that grows aerobically. We present an extremely rare case of cauda equina syndrome due to isolated intramedullary Nocardia farcinica infection. A 44-year-old male presented with low backache and gradually progressive weakness in bilateral lower limbs followed by paraplegia. He was found to have a well-defined, sharply demarcated ring-enhancing lesion located from T11-T12 to L3 vertebral body. He underwent laminectomy and decompression. The histopathological examination revealed a Gram-positive filamentous organism that looks like Nocardia. The culture report was suggestive of Nocardia farcinica. He was then treated with antibiotics and had a remarkable clinical and radiological improvement.
- Published
- 2020
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