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Primary cutaneous nocardiosis in an immune-competent patient.

Abstract
We present a patient who was hospitalized due to a purulent skin lesion with a surrounding erythematous area in the region of the right paranasal crease accompanied by a swelling of the right eyelid. Initially the diagnosis of a carbuncle caused by an infection with Staphylococcus aureus was supposed. A surgical debridement was performed and an antibiotic therapy was started. Only special microbial investigations requested by the clinician led to the diagnosis of a cutaneous infection with Nocardia brasiliensis. The presented case is remarkable because the nocardia infection was in an immune-competent patient and the patient showed a primary cutaneous nocardiosis without dissemination.
AuthorsW J Z'Graggen, T Bregenzer, H Fankhauser, A Arnoux, H Laeng, P H Itin
JournalEuropean journal of dermatology : EJD (Eur J Dermatol) Vol. 11 Issue 6 Pg. 569-71 ( 2001) ISSN: 1167-1122 [Print] France
PMID11701411 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Penicillins
  • Amoxicillin
Topics
  • Amoxicillin (therapeutic use)
  • Carbuncle (diagnosis)
  • Diagnosis, Differential
  • Facial Dermatoses (diagnosis, drug therapy, surgery)
  • Female
  • Humans
  • Middle Aged
  • Nocardia (isolation & purification)
  • Nocardia Infections (diagnosis, drug therapy, surgery)
  • Penicillins (therapeutic use)
  • Skin Diseases, Bacterial (diagnosis, drug therapy, surgery)

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