A case of disseminated nocardia infection with initial symptoms manifesting as cognitive impairment: Case report and literature review
Xiayahu Li, Weiguo Zhou, Kai Zhao, Yaolin Li · 2024
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Description
Xiayahu Li and three co-authors describe a rare bacterial infection that first showed up as confusion, in this 2024 case report with a literature review. Nocardia bacteria live in soil and can spread through the body, including to the brain, where they are hard to spot and deadly if missed.
Their patient, a 58-year-old man with lung disease, kidney inflammation, and steroid-driven diabetes, arrived with garbled speech, fever, cough, breathlessness, and mental symptoms. Scans showed severe pneumonia and lung damage. Gene sequencing of samples named the culprit, Nocardia farcinica, after a first antibiotic failed. A tailored three-drug regimen brought early improvement, but the patient left the hospital early over costs and later died. The authors stress fast molecular testing, prompt matched therapy, and the real-world barriers, like money, that can undo both.
Catalog record
| CREATOR | Xiayahu Li, Weiguo Zhou, Kai Zhao, Yaolin Li |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |