We report an intracerebral abscess caused by a recently identified nocardial species, in an immunocompetent individual without extraneural involvement.
A 63-year-old non-smoking Caucasian male with an unremarkable history of hypertension, presented with a 2-week history of personality changes including apathy, some difficulty walking, a tendency to veer to the left and a possible seizure. Preliminary assessment, including laboratory investigations were unremarkable. Computed tomography (CT) of his brain revealed a right frontal lobe multi-loculated, ring-enhancing lesion with vasogenic edema and associated mass effect (Figure 1). He was then referred to our institution.