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Cutaneous nocardiosis caused by Nocardia brasiliensis after an insect bite
B E Paredes1, R E Hunger, L R Braathen
1Dermatological Clinic, University of Berne, Inselspital, Berne, Switzerland.
Dermatology (Basel, Switzerland)
|May 15, 1999
Abstract:
We report the case of a primary lymphocutaneous nocardiosis occurring on the right calf of a healthy 56-year-old man after an insect bite. Analysis of the purulent exudate obtained from the nodule revealed Nocardia brasiliensis. The initial therapy with trimethoprim-sulfamethoxazole had to be stopped due to a drug eruption. However, with minocycline treatment the patient recovered within 5 weeks. Superficial (sporotrichoid) infections and a history of outdoor injury should be considered suspicious for cutaneous nocardiosis.