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Cerebral Nocardiosis Mimicking Multiple Brain Metastases in a Patient with Locally Advanced Non–Small-Cell Lung Cancer  Cathy Voide, MD, Stefan Zimmermann,

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Presentation on theme: "Cerebral Nocardiosis Mimicking Multiple Brain Metastases in a Patient with Locally Advanced Non–Small-Cell Lung Cancer  Cathy Voide, MD, Stefan Zimmermann,"— Presentation transcript:

1 Cerebral Nocardiosis Mimicking Multiple Brain Metastases in a Patient with Locally Advanced Non–Small-Cell Lung Cancer  Cathy Voide, MD, Stefan Zimmermann, MD, Alex A. Adjei, MD, PhD, Daniel C. Betticher, MD, Reto Meuli, MD, Guy Prod’hom, MD, Stefano Giulieri, MD, Solange Peters, MD, PhD  Journal of Thoracic Oncology  Volume 9, Issue 3, Pages e24-e26 (March 2014) DOI: /JTO Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

2 FIGURE 1 A, Two right hemispheric lesions and one left temporal lesion ranging in size from 12 to 15 mm, with annular peripheral enhancement. B, Significant progression in size and number of the multiple preexisting lesions, some with a bilobar shape, strongly suggestive of brain abscesses, involving both the supra- and infratentorial regions. Journal of Thoracic Oncology 2014 9, e24-e26DOI: ( /JTO ) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

3 FIGURE 2 A, Acid-fast, bacillus-positive, branching filamentous bacteria identified as Nocardia farcinica strain. B, Gram stain of the biopsy showing an inflammatory process with multiple filamentous bacteria. Journal of Thoracic Oncology 2014 9, e24-e26DOI: ( /JTO ) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

4 FIGURE 3 Thoracic computed tomography showed multiple left nodular lesions suggestive of pulmonary nocardiosis with hematogenous cerebral dissemination. Journal of Thoracic Oncology 2014 9, e24-e26DOI: ( /JTO ) Copyright © 2014 International Association for the Study of Lung Cancer Terms and Conditions

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