Abstract
BackgroundNocardia brasiliensis is a rare human pathogen usually associated with localized cutaneous infections.Case PresentationWe report a case of primary lymphocutaneous Nocardia brasiliensis infection developed after a bone fracture of the left hand of an otherwise healthy 32-year-old man. Treatment with trimethoprim-sulfamethoxazole given for a total of three months combined with surgical debridement resulted in complete resolution of the infection.ConclusionNocardiosis should be part of the differential diagnosis in patients with sporotrichoid infection, particularly those with a history of outdoor injury. Culture of the affected tissue and antimicrobial susceptibility testing of the isolate should be performed for diagnosis and treatment.
Highlights
Nocardia brasiliensis is a rare human pathogen usually associated with localized cutaneous infections.Case Presentation: We report a case of primary lymphocutaneous Nocardia brasiliensis infection developed after a bone fracture of the left hand of an otherwise healthy 32-year-old man
N. asteroides, N. farcinica, N. nova and N. brasiliensis are the species most often involved in human disease [1,2]
We describe a case of a man, who had an accident at work and 1 week later developed lymphocutaneous infection caused by N. brasiliensis
Summary
Nocardiosis should be part of the differential diagnosis in patients with sporotrichoid infection, those with a history of outdoor injury. Culture of the affected tissue and antimicrobial susceptibility testing of the isolate should be performed for diagnosis and treatment
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