A Case Report of Cerebral Nocardiosis in a Patient with Crohn's Disease

Cerebral nocardiosis is a rare complication in patients who receive immunosuppressants, those with malignancy, AIDS, and transplant recipients. Case Report: Herein we present a case of Crohn’s disease who was being treated with prednisolone, salazine and azathioprine but suddenly faced a decrease in the level of consciousness and presented with the signs of focal neurologic deficit. Imaging studies revealed brain abscess and the patient underwent a surgery. Bacterial cultivation and histologic examination indicated cerebral nocardiosis and the patient was successfully treated with antibiotics. As far as we know, this was the first case of cerebral nocardiosis in a patient with Crohn’s disease who was receiving salazine, prednisolone and azathioprine. So far no similar case has been reported in English articles.