Kirmani N, Tuazon C U, Ocuin J A, Thompson A M, Kramer N C, Geelhoed G W
J Neurosurg. 1978 Dec;49(6):924-8. doi: 10.3171/jns.1978.49.6.0924.
A 34-year-old renal transplant recipient developed multiple soft tissue and extensive cerebral nocardiosis. The number and locations of the cerebral abscesses and probable areas of cerebritis precluded surgical drainage procedures. Gradual resolution of all the cerebral lesions occurred over a period of 6 months with antibiotic therapy alone. A review of the literature revealed only one previous case of a patient with pulmonary nocardiosis who had a probable secondary brain abscess and who survived without surgical drainage. Thus, if surgical drainage is not possible, antibiotic therapy alone may offer a hope of survival in what otherwise has been considered a uniformly fatal disease.
一名34岁的肾移植受者发生了多处软组织和广泛的脑诺卡菌病。脑脓肿的数量和位置以及可能的脑炎性区域使手术引流无法进行。仅通过抗生素治疗，所有脑损伤在6个月内逐渐消退。文献回顾显示，之前仅有一例肺诺卡菌病患者可能继发脑脓肿，且未经手术引流而存活。因此，如果无法进行手术引流，仅抗生素治疗可能为这种原本被认为必死无疑的疾病带来生存希望。
