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A difficult case
Disseminated nocardiosis with cerebral and subcutaneous lesions on low-dose prednisone
  1. Kedar R Mahajan
  1. Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH 44195, USA
  1. Correspondence to Dr Kedar R Mahajan, Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH 44195, USA; mahajak{at}ccf.org

Abstract

This case report is of a septuagenarian man on chronic low-dose prednisone who presented with disseminated nocardiosis (Nocardia cyriacigeorgica) that was initially mistaken for metastatic brain cancer. Neurologists should be aware of the potential for opportunistic infections with steroid use and to consider a definite tissue diagnosis with culture and histopathology prior to treatment.

  • nocardia
  • nocardiosis
  • disseminated
  • brain lesions
  • immunosuppression
  • metastasis.

https://doi.org/10.1136/practneurol-2018-002038

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    Footnotes

    • Contributors KRM conceived and wrote the manuscript.

    • Funding KRM is funded by a National Multiple Sclerosis Society Clinician Scientist Development Award (FAN-1507-05606).

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Provenance and peer review. Not commissioned. Externally peer reviewed by Nicholas Davies, London, UK.

    • Data sharing statement Available data are presented in the manuscript with protected health information withheld.

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