{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T21:20:54Z","timestamp":1780521654209,"version":"3.54.1"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\"><jats:title>Background:<\/jats:title><jats:p>Gram-positive opportunistic bacteria of the<jats:italic>Nocardia<\/jats:italic>species are responsible for a large spectrum of infections, such as pneumonia, skin infections, and more widespread conditions, including brain abscesses.<\/jats:p><\/jats:sec><jats:sec id=\"st2\"><jats:title>Case Description:<\/jats:title><jats:p>A 67-year-old male patient suffered from headache, gait disorder, and vertigo for a week before admission to our department. An enhanced magnetic resonance imaging scan revealed a mediosagittal hyperintense infratentorial lesion with concomitant compression of the fourth ventricle. The patient underwent surgical treatment with general anesthesia. The frozen section did not reveal any tumoral tissue but rather a purulent content. He was comatose on the 1<jats:sup>st<\/jats:sup>postoperative day, and he underwent a follow-up computed tomography (CT) scan, which revealed triventricular hydrocephalus. The external ventricular drain was performed, and a follow-up CT scan revealed significant improvement of hydrocephalus. Matrix-Assisted Laser Desorption Ionization Time of Flight did not reveal any causative agent from the intraoperative content, but the 16s ribosomal DNA method confirmed<jats:italic>Nocardia cyriacigeorgica<\/jats:italic>. The patient was intravenously treated with ceftriaxone and trimethoprim\/sulfamethoxazole and died on the 5<jats:sup>th<\/jats:sup>postoperative day.<\/jats:p><\/jats:sec><jats:sec id=\"st3\"><jats:title>Conclusion:<\/jats:title><jats:p>Nocardiosis presents a rare Gram-positive bacterial infection that typically affects immunocompromised hosts.<jats:italic>Nocardia<\/jats:italic>-caused brain abscesses present a significant challenge in its treatment for its atypical presentation and slow culture growth.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_426_2024","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T14:44:04Z","timestamp":1731681844000},"page":"413","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of cerebellar abscess caused by<i>Nocardia cyriacigeorgica<\/i>"],"prefix":"10.25259","volume":"15","author":[{"given":"Nenad","family":"Koruga","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Center Osijek, Osijek, Croatia"},{"name":"Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordan","family":"Reljac","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Center Osijek, Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alen","family":"Ron\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Center Osijek, Osijek, Croatia"},{"name":"Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, 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of Osijek, Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Rotim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia"},{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Center Osijek, Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tajana","family":"Turk","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia"},{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Center Osijek, Osijek, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ron\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia"},{"name":"Department of Diagnostic and Interventional 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