| CASE REPORT |
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| Year : 2015 | Volume
: 4
| Issue : 1 | Page : 185 |
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Nocardial brain abscess in a patient with pulmonary alveolar proteinosis
Kiana Shirani1, Asger Nyborg Poulsen2, Atousa Hakamifard3
1 Department of Infectious Diseases, Acquired Immunodeficiency Research Center, Isfahan, Iran
2 Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
3 Department of Infectious Diseases, Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Correspondence Address:
Kiana Shirani
P.O. Box - 791, Al-Zahra Hospital, Soffe Avenue, Isfahan
Iran
 Source of Support: Nil, Conflict of Interest: None  | Check |
DOI: 10.4103/2277-9175.164004
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Brain abscesses caused by Nocardiaare rare but have a very high mortality and specific requirements of antibiotic treatment. Nocardial brain abscesses are mainly found in patients with predisposing conditions such as pulmonary alveolar proteinosis (PAP), a disease associated with chronic exposure to silica dust. We present a case of multiple nocardial brain abscesses in a man with PAP probably due to long-term occupational exposure to silica dust. Conclusively, in patients presenting brain abscesses and a history of chronic exposure to silica dust, PAP and opportunistic nocardial infection should always be considered as possible diagnoses. |
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