Nocardial infection of the skin

This paper describes the relationship between different forms of nocardia infection involving the skin. The best recognized of these conditions are systemic nocardiosis and actinomycetoma due to Nocardia spp. in which the organisms are present in either filamentous or grain form respectively. Attention is drawn to evidence for the existence of a primary cutaneous form of nocardiosis which follows inoculation and in which the organisms grow in filamentous phase. It is not clear whether such cases can progress to mycetoma formation if left untreated, or whether other factors are involved. The clinical and laboratory features of these different clinical varieties of nocardia infection are discussed.