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J Dermatol. 2002 Dec;29(12):803-9.

Cutaneous nocardiosis developing around gravel inserted during a traffic injury.

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Department of Dermatology, Kumamoto University School of Medicine, Honjo, Kumamoto, Japan.


A 65-year-old Japanese woman with nocardial mycetoma which developed five years after a compound bone fracture of the left foot due to a traffic accident was reported. During this accident, two small pieces of gravel had entered her foot. Nocardia asteroides, which had been attached to the gravel, was probably inserted 5 years previously during the trauma. The lesion did not respond to oral minocycline and trimethoprim-sulfamethoxazole and was finally removed surgically; she has been free from recurrences for one year, of follow-up.

[Indexed for MEDLINE]

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