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[Nocardiosis in immunocompromised host presenting as cellulitis]
Background:
Nocardia is a rare pathogen of mainly immunocomprised patients. Only two cases of nocardiosis have previously been identified in Iceland.
Case Description:
A 92-year-old male on glucocorticoid therapy with metastatic bladder cancer presented with two weeks history of progressive swelling and erythema of the hand and deteriorating cognitive functioning. A brain lesion and pulmonary nodules were identified and Nocardia farcinia was cultured from a hand abscess. The patient was initially treated with trimethoprim/sulfamethoxazole but because of rapid deterioration and old age an end-of-life decision was made.
Conclusion:
This case of nocardiosis illustrates the importance of uncommon opportunistic infections in immunocompromised Icelandic patients.
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