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Localized subcutaneous Nocardia farcinica abscess in a woman with overlap syndrome between systemic scleroderma and
C Auzary1, L Mouthon, M Soilleux
1Service de Médecine Interne, Hôpital Avicenne, Université Paris-Nord, Bobigny.
Annales De Medecine Interne
|January 19, 2000
Abstract:
Nocardia farcinica is an increasingly common cause of human infection in Europe. We observed an isolated nodular subcutaneous abscess due to N. farcinica in the forearm of a young patient with overlap syndrome between systemic sclerosis and polymyositis. Despite in vitro resistance to trimethoprim-sulfamethoxazole, this oral combination completely resolved the lesion within 3 weeks and was maintained for 6 months. The spectrum of cutaneous nocardiosis in the immunocompromised host is discussed.