Multiple Nocardial Brain Abscesses in an Immunocompetent Patient

Nocardial brain abscess is a rare central nervous system (CNS) infection with high morbidity and mortality. Nocardial brain abscess is usually associated with immunocompromised patients, but sometimes may appear in healthy individuals. Clinical presentation: We report a case of nocardial brain abscess treated at our department in an immunocompetent patient who was initially treated for CNS tuberculosis but was later found to have Nocardiosis. The patient was treated with surgical evacuation and long-term antibiotics. The patient recovered well at discharge. Conclusion: Nocardial brain abscess is a rare CNS infection that needs to be differentiated from other brain lesions. It could occur in immunocompromised patients or healthy individuals. Treatment includes surgical intervention and long-term antibiotics therapy. Early identification, appropriate and prolonged treatment are crucial for a favorable outcome.