Open-access Abscesso cerebelar por Nocardia: relato de caso

Cerebellar abscess by Nocardia: case report

Resumos

A nocardiose do sistema nervoso central tem alcançado importante destaque no diagnóstico diferencial de patologias tumorais nos últimos anos pelo aumento da incidência de pacientes imunodeficiêntes(pacientes submetidos a quimioterapia, transplante de órgãos ou com a síndrome de imunodeficiência adquirida - SIDA). Os autores descrevem o caso de um paciente com SIDA que desenvolveu nocardiose cerebelar na sua forma tumoral. O paciente foi submetido a craniectomia de fossa posterior para diagnóstico e tratamento. Os achados de neuroimagem e patológicos bem como a conduta cirúrgica são discutidos com base em revisão da literatura.

nocardiose; abcesso cerebelar; síndrome de imunodeficiência adquirida (SIDA)


The authors describe a case of cerebellar abscess by Nocardiain a patient with the acquired immunodeficiency syndrome (AIDS) that was submitted to a posterior fossa craniectomy for diagnosis and treatment. Pathological and neuroimage findings are discussed as well as the surgical approach taking into account literature data on the subject.

nocardial infection; cerebellar abscess; acquired immunodeficiency syndrome (Aids)


Abscesso cerebelar por Nocardia:relato de caso

Cerebellar abscess by Nocardia:case report

Paulo H.P. AguiarI; Félix H. PahlI; David E. UipII; Eduardo A. S. VellutiniI; Eduardo G. MutarelliI; Mario A. TariccoI; Marcos Q. T. GomesI; Celso D.L LoretoIII

IMédico do Serviço de Neurologia e Neurocirurgia do Hospital Alemão Oswaldo Cruz São Paulo, (HAOC)

IIMédico Infectologista do HAOC

IIIMédico do Serviço de Patologia do HAOC

RESUMO

A nocardiose do sistema nervoso central tem alcançado importante destaque no diagnóstico diferencial de patologias tumorais nos últimos anos pelo aumento da incidência de pacientes imunodeficiêntes(pacientes submetidos a quimioterapia, transplante de órgãos ou com a síndrome de imunodeficiência adquirida - SIDA). Os autores descrevem o caso de um paciente com SIDA que desenvolveu nocardiose cerebelar na sua forma tumoral. O paciente foi submetido a craniectomia de fossa posterior para diagnóstico e tratamento. Os achados de neuroimagem e patológicos bem como a conduta cirúrgica são discutidos com base em revisão da literatura.

Palavras-chave:nocardiose, abcesso cerebelar, síndrome de imunodeficiência adquirida (SIDA)

SUMMARY

The authors describe a case of cerebellar abscess by Nocardiain a patient with the acquired immunodeficiency syndrome (AIDS) that was submitted to a posterior fossa craniectomy for diagnosis and treatment. Pathological and neuroimage findings are discussed as well as the surgical approach taking into account literature data on the subject.

Key-words: nocardial infection, cerebellar abscess, acquired immunodeficiency syndrome (Aids).

Texto completo disponível apenas em PDF.

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Aceite: 3 - dezembro - 1994.

Dr. Paulo Henrique Pires de Aguiar - Rua Raul Pompéia 1050 apto.lll- 05025-010 São Paulo SP - Brasil. Fax (011) 289-0661.

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Datas de Publicação

  • Publicação nesta coleção
    20 Jan 2011
  • Data do Fascículo
    Jun 1995
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