Chronic relapsing neutrophilic meningitis as the sole manifestation of nocardiosis in a patient with mixed connective tissue disease.

Authors

M Anthony Albornoz, Riddle Memorial Hospital/Main Line Health System
Erin K Threlfall, Riddle Memorial Hospital/Main Line Health System
Michael Baldassari, Thomas Jefferson UniversityFollow
Lawrence J Livornese, Lankenau Medical Center/Main Line Health System

Document Type

Article

Publication Date

3-9-2022

Comments

This article is the author’s final published version in IDCases, Volume 28, March 2022, Article number e01473.

The published version is available at https://doi.org/10.1016/j.idcr.2022.e01473. Copyright © Albornoz et al.

Abstract

We describe a rare case of a patient with mixed connective tissue disease maintained on chronic oral corticosteroids, who was hospitalized on five occasions over five consecutive months due to persistent relapsing neutrophilic meningitis caused by Nocardia asteroides. Immunosuppression due to the chronic use of corticosteroids was identified as the underlying mechanism of susceptibility. Our report highlights the challenges associated with systemic Nocardiosis, particularly in the immunocompromised host.

Recommended Citation

Albornoz, M Anthony; Threlfall, Erin K; Baldassari, Michael; and Livornese, Lawrence J, "Chronic relapsing neutrophilic meningitis as the sole manifestation of nocardiosis in a patient with mixed connective tissue disease." (2022). Department of Neurosurgery Faculty Papers. Paper 181.
https://jdc.jefferson.edu/neurosurgeryfp/181

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

PubMed ID

35340754

Language

English