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He developed multiple cutaneous lesions, which on incision and drainage revealed <jats:italic>Nocardia farcinica<\/jats:italic>. Repeat brain imaging showed enlargement of the existing cavitating lesions and appearance of new lesions, now typical of cerebral abscesses. A diagnosis of disseminated nocardiosis with cutaneous and intracerebral infection was reached. He started taking empirical treatment with intravenous meropenem, co-trimoxazole and subsequent addition of amikacin, with little improvement. On further review of sensitivities, moxifloxacin was added. Following over 1\u2009month of antimicrobial treatment, his neurological symptoms, cutaneous lesions and repeat MRI of the brain had improved.<\/jats:p>","DOI":"10.1136\/bcr-2019-233678","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T03:20:21Z","timestamp":1599535221000},"page":"e233678","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["<i>Nocardia farcinica<\/i> masquerading as intracerebral metastases in advanced metastatic prostatic cancer"],"prefix":"10.1136","volume":"13","author":[{"given":"Claire","family":"Livings","sequence":"first","affiliation":[{"name":"Department of Oncology, University of London Saint George's, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayu","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Oncology, University of London Saint George's, London, 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