ノカルジア脳膿瘍の1例

Nocardial Brain Abscess: Case report

I．はじめに

　ノカルジア脳膿瘍は，死亡率が高く，治療上困難を伴うことが多い．われわれは，数回の手術とSulfametho—xazole-Trimethoprim合剤（S-T合剤）投与により軽快せしめたノカルジア脳膿瘍を経験したので報告する．

A 25-year-old man, who was slightly immunosup-pressed, presented headache and right motor weakness due to multiple brain abscesses disseminated from lung abscess. They were diagnosed, by bacteriological ex-amination, as nocardial brain abscesses (nocardia asteroides) 4 weeks after the first operation. In spite of delay in the diagnosis, he was relieved by operations (three times) and chemotherapy including high closes of Sulfamethoxazole-Trimethoprim. He was eventually discharged.

We stress the necessity of early diagnosis and the efficacy of Sulfamethoxazole-Trimethoprim for nocar-dial brain abscess.