Fever & Brain Lesions in the Immunocompromised

An 80-year-old man with Multiple myeloma presents with fever, confusion, and ring-enhancing brain lesions. What’s the diagnosis for these CNS findings?

Nocardiosis


A 80-year-old man undergoing treatment for multiple myeloma presented with fevers and confusion. Magnetic resonance imaging (MRI) of the head showed ring-enhancing lesions. Gram stain of cerebrospinal fluid (CSF) showed gram-positive bacilli. What is the most likely diagnosis?

What is the most likely diagnosis?

Clostridium septicum
Listeriosis
Nocardiosis
Peptostreptococcus species
Propionibacterium acnes

CNS Infection, Gram-Positive Bacilli, Immunocompromised Host, Nocardiosis, Ring-Enhancing Lesion

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