Stroke like presentation of disseminated CNS Nocardia beijingensis infection in an immunocompetent patient: Case report and review of the literature

Abstract

We describe a rare case of pulmonary and central nervous system (CNS) Nocardia beijingensis infection in an immunocompetent patient presenting with stroke like symptoms and newly discovered pulmonary and brain mass. Initial work up suggested lung cancer with metastasis to the brain. However, further evaluation revealed disseminated N . beijingensis . A literature review of N . beijingensis infections in immunocompetent host is also presented.

Persistent Nocardia beijingensis infection in a patient with postoperative abscess and misuse of antibiotics in China

“… [15] 8 2021 58/M Lung, CNS Headaches, aphasia, lethargy 2 weeks TMP-SMX, ceftriaxone Diioia et al. [16] 9 2021 47/M Lung Lung mass identified on imaging – TMP-SMX, doxycycline Raslan et al. [17] 10 2022 57/M Adrenal gland Abdominal pain, fevers, nausea, weight loss 1 month Linezolid, TMP-SMX Pender et al.…”