- http://www.jns.dergisi.org/text.php3?id=833 - Brain abscess can easily be confused with metastatic tumors mainly due to the similarities in
the magnetic resonance imaging (MRI) appearances. Nocardial brain abscesses are extremely
rare and account for about 2% of all brain abscesses. Nocardial infections can spread
contiguously or hematogenously. Misdiagnosis may influence treatment as well as survival.
Herewith, we discuss the radiologic findings, mechanisms of spread and treatment strategies
of a patient harboring multiple nocardial abscesses who was misdiagnosed as metastatic brain
tumor and administered radiation therapy. We concluded that in cases with unilateral multiple
ring-enhanced lesions on MRI without biopsy and histopathological evaluation, brain
abscesses should be taken into consideration.
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