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1: Ann Clin Microbiol Antimicrob. 2004 Nov 15;3:24.Click here to read Click here to read Links

Primary lymphocutaneous nocardiosis in an immunocompetent patient.

Maraki S, Chochlidakis S, Nioti E, Tselentis Y.

Department of Clinical Bacteriology, Parasitology, Zoonoses and Geographical Medicine, University Hospital of Crete, 712 01 Heraklion, Crete, Greece. sofiamaraki@in.gr

BACKGROUND: Nocardia brasiliensis is a rare human pathogen usually associated with localized cutaneous infections. CASE PRESENTATION: We report a case of primary lymphocutaneous Nocardia brasiliensis infection developed after a bone fracture of the left hand of an otherwise healthy 32-year-old man. Treatment with trimethoprim-sulfamethoxazole given for a total of three months combined with surgical debridement resulted in complete resolution of the infection. CONCLUSION: Nocardiosis should be part of the differential diagnosis in patients with sporotrichoid infection, particularly those with a history of outdoor injury. Culture of the affected tissue and antimicrobial susceptibility testing of the isolate should be performed for diagnosis and treatment.

PMID: 15544704 [PubMed]

PMCID: PMC534796

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