Nocardia brain abscess: a case report

Nocardiosis infections are rare, generally systemic, an occurring at the immuno compromised patient. The cerebral abscess with Nocardia is usually secondary to a pulmonary localization. Their bacteriological diagnosis and therapeutic management could be difficult. We report a case of cerebral abscess due to Nocardia in 47 years old patient treated with corticoids for a pulmonary confirmed sarcoidosis. He was hospitalized for a clinical feature in favour of an intra cranial expansive process. The diagnosis of Nocardiosis was suspected at direct examination of Gram stained smears and confirmed by the culture characteristics. The evolution was favorable after stereotaxic punction of the abscess and adapted antibiotherapy based on disc diffusion antibiogram. This observation emphasizes the interest of the bacteriological diagnosis for correct management of cerebral abscesses

[Clostriditm perfringens bacteraemia: a case report]

We report a case of resolutive bacteraemia due to Clostridium perfringens in an olderly patient with no predisposing factors or portal of entry. The patient presented a non specific infectious syndrome: high level CRP and fever; and was hospitalized for ischemic cardiopathy. Three cultures of peripheral blood have shown a growth in the first anaerobe one only, confirmed by the presence of Gram positive rods. Biochemical profile of the strain Api 20A [BioMerieux] allowed the identification of Clostridium perfringens at 99, 9%. The evolution under amoxicillin-clavulanic acid introduced before the second and the third blood culture permits a total recovering and disappearance of fever and pathologic levels of CRP