Multiple Intracranial Lesions Caused by Nocardia farcinica Infection in a Pediatric Patient With Immunocompetence | Neurology
A 16-year-old boy presented with generalized tonic-clonic seizures, irritability, and forgetfulness. Neurologic examination revealed cognitive impairment and ataxic gait. Brain MRI revealed multiple hyperintense nodular and ring-enhancing lesions affecting bilateral hemispheres, including one with a multiloculated appearance (Figure 1). CSF analysis revealed pleocytosis (47/μL), elevated protein level (74 mg/dL), and normal glucose level (3.6 mmol/L). Tests for tumor biomarkers, autoimmune panel, and NGS
