# Disseminated Nocardia ignorata Infection with Splenic and Brain Involvement in Patient with Large B-Cell Lymphoma

**Authors:** Sherif Elbaz, Mahmoud Ismail, Seth Glassman, Asmaa Badr, Eric John Dove

PMC · DOI: 10.3201/eid3201.251546 · Emerging Infectious Diseases · 2026-01-01

## TL;DR

A 79-year-old man with cancer and lung disease died from a rare Nocardia infection affecting his brain and spleen.

## Contribution

This case highlights the rare but severe manifestation of Nocardia ignorata infection in immunocompromised patients.

## Key findings

- Nocardia ignorata infection involved the brain and spleen in a patient with large B-cell lymphoma.
- The patient died despite antimicrobial therapy, underscoring the severity of disseminated Nocardia infections.

## Abstract

A 79-year-old man in the United States with large B-cell lymphoma and chronic obstructive pulmonary disease had disseminated Nocardia ignorata infection involving the brain and spleen. Despite antimicrobial therapy, he died from complications. This rare manifestation highlights the need to consider Nocardia in immunocompromised patients with central nervous system and abdominal lesions.

## Linked entities

- **Diseases:** large B-cell lymphoma (MONDO:0968974), chronic obstructive pulmonary disease (MONDO:0005002), Nocardia infection (MONDO:0017776)
- **Species:** Nocardia ignorata (taxon 145285)

## Full-text entities

- **Genes:** MS4A1 (membrane spanning 4-domains A1) [NCBI Gene 931] {aka B1, Bp35, CD20, CVID5, FMC7, LEU-16}
- **Diseases:** opportunistic infections (MESH:D009894), died (MESH:D003643), edema (MESH:D004487), B-cell lymphoma (MESH:D016393), chronic obstructive pulmonary disease (MESH:D029424), abdominal lesions (MESH:D000008), necrosis (MESH:D009336), brain herniation (MESH:D001927), renal lesion (MESH:D007674), Nocardia (MESH:D009617), pulmonary, cutaneous, or central nervous system disease (MESH:D002493), edematous mass (MESH:C536030), N. ignorata infection (MESH:D007239), abdominal nocardiosis (MESH:D000007), seizure (MESH:D012640), malignancy (MESH:D009369), hemorrhage (MESH:D006470), visceral lesions (MESH:D007418), upper gastrointestinal bleeding (MESH:D006471), lymphoma (MESH:D008223), herniation (MESH:D004677), splenic (MESH:D013158)
- **Chemicals:** eosin (MESH:D004801), Hematoxylin (MESH:D006416), imipenem (MESH:D015378), linezolid (MESH:D000069349), trimethoprim/sulfamethoxazole (MESH:D015662), Fite-Faraco stain (-)
- **Species:** Homo sapiens (human, species) [taxon 9606], Nocardia (genus) [taxon 1817]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12870019/full.md

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12870019/full.md

## References

7 references — full list in the complete paper: https://tomesphere.com/paper/PMC12870019/full.md

---
Source: https://tomesphere.com/paper/PMC12870019