A Primary Cutaneous Nocardiosis of the Hand

Open Access Macedonian Journal of Medical Sciences

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Field Value
Title A Primary Cutaneous Nocardiosis of the Hand
Creator Camozzota, Camilla
Goldman, Alberto
Tchernev, Georgi
Lotti, Torello
Wollina, Uwe
Subject Actinomycetes
Sabauroud agar
Primary cutaneous infection
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
Case report
Format application/pdf
Identifier https://www.id-press.eu/mjms/article/view/oamjms.2017.106
Source Open Access Macedonian Journal of Medical Sciences; Vol. 5 No. 4 (2017): Jul 25 (OAMJMS) Global Dermatology-1; 470-472
Language eng
Relation https://www.id-press.eu/mjms/article/view/oamjms.2017.106/1506

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