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Nocardia brain abscess: a sinister aetiology
  1. Liza Das1,
  2. Amit Shankar Singh2
  1. 1Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Neurology, Fortis Hospital Mohali, Mohali, Punjab, India
  1. Correspondence to Dr Amit Shankar Singh, Neurology, Fortis Hospital Mohali, Mohali 160062, Punjab, India; amitkgmumedicine{at}

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A 42-year-old man presented with episodic headaches for the past 2 months, accompanied by palinopsia (visual perseveration). Medical history was significant for sarcoidosis, necessitating prednisolone use for the past 6 months. The patient had normal vitals, fundus and neurologic examination except for a weak right hand grip. MRI of the brain revealed multiple conglomerated brain abscesses in the left occipito-parietal region (figure 1A). Contemplating a tubercular aetiology, anti-tubercular therapy (ATT), levetiracetam and dexamethasone were started. However, after 3 days, the patient became drowsy and developed right-sided hemiparesis. …

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  • Contributors LD helped in patient management, reviewed the literature and drafted the manuscript. AS managed the patient, reviewed the literature and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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