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Acute primary cutaneous nocardiosis.

M Hironaga1, T Mochizuki, S Watanabe

  • 1Hironaga Dermatology Clinic, Moriyama, Japan.

Journal of the American Academy of Dermatology
|August 1, 1990
PubMed
Summary

A rare primary cutaneous Nocardia brasiliensis infection in an 8-year-old girl presented as a skin lesion on the knee. Prompt treatment with minocycline and dapsone led to successful recovery.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Nocardia brasiliensis is an opportunistic pathogen.
  • Cutaneous nocardiosis can arise from direct inoculation, often through skin trauma.

Observation:

  • An 8-year-old girl presented with an acute, localized, purulent skin lesion on her right knee.
  • The lesion was preceded by a minor abrasion contaminated by soil.
  • The infection progressed to include intense lymphangitis and regional adenopathy.

Findings:

  • The patient was diagnosed with primary cutaneous Nocardia brasiliensis infection.
  • Microbiological and clinical evidence confirmed the diagnosis.

Implications:

  • This case highlights the importance of considering Nocardia infection in skin lesions with a history of soil exposure.
  • Early diagnosis and appropriate antibiotic therapy, such as minocycline and dapsone, are crucial for favorable outcomes in cutaneous nocardiosis.

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