{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T09:16:25Z","timestamp":1687252585052},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":623,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>We report a case of a ruptured mycotic cerebral aneurysm caused by Nocardia infection. A 22-year-old immunocompromised woman with adult-onset Still's disease developed a subarachnoid hemorrhage (SAH). Digital subtraction angiography revealed a small aneurysm at the M2-3 bifurcation of the right middle cerebral artery. Cardiac ultrasonography showed vegetation at the posterior cardiac wall, suspecting infective endocarditis (IE). Gram-positive filamentous bacteria were observed in the necrotic tissue surrounding the aneurysm obtained during trapping surgery. Long-term blood culture showed that the cause of her cerebral mycotic aneurysm was nocardiosis. A mycotic ruptured cerebral aneurysm is an important cause of SAH in immunocompromised patients. Early diagnosis of IE, detection of gram-positive rods by Gram staining, and long-term culture to identify the bacteria is crucial in diagnosing nocardiosis.<\/jats:p>","DOI":"10.4103\/ajns.ajns_283_20","type":"journal-article","created":{"date-parts":[[2020,10,18]],"date-time":"2020-10-18T14:55:15Z","timestamp":1603032915000},"page":"1072-1075","source":"Crossref","is-referenced-by-count":2,"title":["Ruptured mycotic cerebral aneurysm secondary to disseminated nocardiosis"],"prefix":"10.1055","volume":"15","author":[{"given":"Masayuki","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiki","family":"Marushima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoji","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoji","family":"Takigawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wataro","family":"Tsuruta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Matsumaru","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba Hospitals, Tsukuba"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,8,16]]},"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_283_20.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T23:13:22Z","timestamp":1660691602000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_283_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,8,16]]},"published-print":{"date-parts":[[2020,12]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_283_20","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}