"Primary" nocardial XXXX in a renal transplant patient.

@entity2892 @entity6910 @entity566 @entity13135 @entity7180 @entity5553 @entity281 @entity3595 @entity733 @entity1410 @entity400 @entity1829 @entity10 @entity221 @entity867
BACKGROUND: Intracranial @entity733 are rare among transplant recipients, and @entity7180 is responsible for less than 2  % of them. @entity7180 , a @entity281 and is difficult to treat. @entity281 involves lungs and eventually disseminates. Primary nocardial @entity733 are rare and we report a case from @entity3595 Lanka. CASE PRESENTATION: A 38  year old @entity3595 Lankan, who has received his 2nd @entity6910 matched live donor transplantation, which was complicated with perinephric @entity1410 and @entity400 . He presented with @entity221 , worsening @entity10 and @entity1829 . An urgent magnetic resonance image (MRI) showed an occipital abscess with midline shift. Craniotomy and drainage followed by 3  week course of @entity2892 and @entity5553 , which rendered him symptom free. After 12  months he has stayed recurrence free. Imaging and bacteriology of the respiratory tract failed to demonstrate @entity7180 . CONCLUSION: Isolated (Primary) nocardial @entity867 are rare, and have an excellent response to medical therapy. We achieved a good response from a relatively short course of antibiotics (not using @entity13135 , due to @entity566 ), where long courses of antibiotic had been the norm.
