A Primary Cutaneous Nocardiosis of the Hand

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Title A Primary Cutaneous Nocardiosis of the Hand
 
Creator Camozzota, Camilla
Goldman, Alberto
Tchernev, Georgi
Lotti, Torello
Wollina, Uwe
 
Description BACKGROUND: Nocardiosis is caused by an aerobic actinomycete, most commonly introduced through the respiratory tract. The Nocardiae are gram-positive, partially acid-fast bacteria. Primary cutaneous nocardiosis infections are rare and caused by the traumatic introduction of organisms percutaneously. The manifestation is usually an opportunistic infection. Cutaneous involvement may develop as one of four types: mycetoma, lymphocutaneous infection, superficial skin infection, or systemic disease with cutaneous involvement. Diagnosis and evaluation of appropriate specimens are principally by culture.CASE PRESENTATION: A 55-year-old female patient with diabetes type II presented with chronic skin lesions on the hand. Otherwise, her medical history was unremarkable. There were no signs of systemic disease. Direct examination of swabs demonstrated gramme bacteria and culture on Sabouraud agar was positive for Nocardia spp. The specimen of nocardiae was not identified. The patient was treated during nine months with sulfamethoxazole plus trimethoprim. There was an important clinical improvement of the cutaneous aspect of the lesions in hand. Some scars and fibrosis remained after nocardiosis.CONCLUSIONS: Primary cutaneous nocardiosis of the hand is a rare condition. The clinical diagnosis is difficult, and culture is mandatory.
 
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
 
Date 2017-07-20
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Case report
 
Format application/pdf
application/pdf
 
Identifier http://www.id-press.eu/mjms/article/view/oamjms.2017.106
10.3889/oamjms.2017.106
 
Source Open Access Macedonian Journal of Medical Sciences; Vol 5 No 4 (2017): Jul 25 (OAMJMS) Global Dermatology-1; 470-472
1857-9655
 
Language eng
 
Relation http://www.id-press.eu/mjms/article/view/oamjms.2017.106/1506
http://www.id-press.eu/mjms/article/view/oamjms.2017.106/1456
 
Rights Copyright (c) 2017 Camilla Camozzota, Alberto Goldman, Georgi Tchernev, Torello Lotti, Uwe Wollina
http://creativecommons.org/licenses/by-nc/4.0
 

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