Nocardia Brain Abscess in Immunocompetents

Background: Nocardia brain abscess is a rare entity. Commonly associated with immunocompromised conditions. Complete excision is the treatment of choice with intravenous antibiotics but the prognosis is limited. Case Description: This is a case of 42 years old male that presented with fever and disorientation. MRI brain with contrast showed multiple posterior fossa abscess which was surgically treated and found to be Nocardial brain abscess. The patient was treated accordingly and responded well to the treatment. Conclusion: Brain abscess caused by Nocardia species is uncommon, especially in immunocompetent people. It should be managed aggressively and dissemination through blood is associated with poor outcome.