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Primary Lymphocutaneous Nocardia brasiliensis Infection

Primary Lymphocutaneous Nocardia brasiliensis Infection Abstract • We report a rare case of primary lymphocutaneous Nocardia brasiliensis infection occurring in an elderly diabetic man maintained on long-term therapy with prednisone. The mode of inoculation was that of a puncture wound caused by a contaminated needle that occurred one month prior to the development of the clinically apparent infection. The course of this patient's infection was protracted and required two surgical procedures and several months of antibiotic therapy. A review of 15 previously reported cases is presented as well as a discussion of appropriate medical therapy. (Arch Dermatol 1986;122:1180-1182) References 1. Beaman BL, Burnside J, Edwards B, et al: Nocardia infections in the United States, 1972-74 . J Infect Dis 1976;134:286-289.Crossref 2. Smego RA, Gallis HA: The clinical spectrum of Nocardia brasiliensis infection in the United States . Rev Infect Dis 1980;6:164-180.Crossref 3. Guy WH: Nocardiosis cutis resembling sporotrichosis . Arch Dermatol 1920;2:137-143.Crossref 4. Rapaport J: Primary chancriform syndrome caused by Nocardia brasiliensis . Arch Dermatol 1966;93:62-64.Crossref 5. Moore M, Conrad AH: Sporotrichoid nocardiosis caused by Nocardia brasiliensis . Arch Dermatol 1967;95:390-393.Crossref 6. Bates RR, Rifkind D: Nocardia brasiliensis lymphocutaneous syndrome . AJDC 1971;121:246-247. 7. Padron S, Dominguez M, Drosd R, et al: Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis . South Med J 1973;66:609-612.Crossref 8. Mitchell G, Wells GM, Goodman JS: Sporotrichoid Nocardia brasiliensis infection . Rev Respir Dis 1975;112:721-723. 9. Belliveau RR, Geiger F: Lymphocutaneous Nocardia brasiliensis infection simulating sporotrichosis . West J Med 1977; 127:245-246. 10. Satterwhite TK, Wallace RJ: Primary cutaneous nocardiosis . JAMA 1979;242:333-336.Crossref 11. Nahas LF, Bennett JE: Nocardiosis of the upper limb . Plast Reconstr Surg 1981;68:593-595.Crossref 12. Law BJ, Marks MI: Pediatrics nocardiosis . Pediatrics 1982;70:560-565. 13. Callen JP, Kingman J: Disseminated cutaneous Nocardia brasiliensis infection . Pediatr Dermatol 1984;2:49-51.Crossref 14. Kalb RE, Kaplan MH, Grossman ME: Cutaneous nocardiosis . J Am Acad Dermatol 1985;13:125-133.Crossref 15. Zecler E, Gilboa Y, Eikina L, et al: Lymphocutaneous nocardiosis due to Nocardia brasiliensis . Arch Dermatol 1977; 113:642-643.Crossref 16. Wishnitzer R, Berrebi A, von der Walde J, et al: Nocardia brasiliensis lymphocutaneous syndrome in a patient with lymphosarcoma . Dermatologica 1984;169:215-216.Crossref 17. Smego RA, Moeller MB, Gallis HA: Trimethoprim-sulfamethoxazole therapy for Nocardia infections . Arch Intern Med 1983; 143:711-718.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Primary Lymphocutaneous Nocardia brasiliensis Infection

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1986.01660220098020
Publisher site
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Abstract

Abstract • We report a rare case of primary lymphocutaneous Nocardia brasiliensis infection occurring in an elderly diabetic man maintained on long-term therapy with prednisone. The mode of inoculation was that of a puncture wound caused by a contaminated needle that occurred one month prior to the development of the clinically apparent infection. The course of this patient's infection was protracted and required two surgical procedures and several months of antibiotic therapy. A review of 15 previously reported cases is presented as well as a discussion of appropriate medical therapy. (Arch Dermatol 1986;122:1180-1182) References 1. Beaman BL, Burnside J, Edwards B, et al: Nocardia infections in the United States, 1972-74 . J Infect Dis 1976;134:286-289.Crossref 2. Smego RA, Gallis HA: The clinical spectrum of Nocardia brasiliensis infection in the United States . Rev Infect Dis 1980;6:164-180.Crossref 3. Guy WH: Nocardiosis cutis resembling sporotrichosis . Arch Dermatol 1920;2:137-143.Crossref 4. Rapaport J: Primary chancriform syndrome caused by Nocardia brasiliensis . Arch Dermatol 1966;93:62-64.Crossref 5. Moore M, Conrad AH: Sporotrichoid nocardiosis caused by Nocardia brasiliensis . Arch Dermatol 1967;95:390-393.Crossref 6. Bates RR, Rifkind D: Nocardia brasiliensis lymphocutaneous syndrome . AJDC 1971;121:246-247. 7. Padron S, Dominguez M, Drosd R, et al: Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis . South Med J 1973;66:609-612.Crossref 8. Mitchell G, Wells GM, Goodman JS: Sporotrichoid Nocardia brasiliensis infection . Rev Respir Dis 1975;112:721-723. 9. Belliveau RR, Geiger F: Lymphocutaneous Nocardia brasiliensis infection simulating sporotrichosis . West J Med 1977; 127:245-246. 10. Satterwhite TK, Wallace RJ: Primary cutaneous nocardiosis . JAMA 1979;242:333-336.Crossref 11. Nahas LF, Bennett JE: Nocardiosis of the upper limb . Plast Reconstr Surg 1981;68:593-595.Crossref 12. Law BJ, Marks MI: Pediatrics nocardiosis . Pediatrics 1982;70:560-565. 13. Callen JP, Kingman J: Disseminated cutaneous Nocardia brasiliensis infection . Pediatr Dermatol 1984;2:49-51.Crossref 14. Kalb RE, Kaplan MH, Grossman ME: Cutaneous nocardiosis . J Am Acad Dermatol 1985;13:125-133.Crossref 15. Zecler E, Gilboa Y, Eikina L, et al: Lymphocutaneous nocardiosis due to Nocardia brasiliensis . Arch Dermatol 1977; 113:642-643.Crossref 16. Wishnitzer R, Berrebi A, von der Walde J, et al: Nocardia brasiliensis lymphocutaneous syndrome in a patient with lymphosarcoma . Dermatologica 1984;169:215-216.Crossref 17. Smego RA, Moeller MB, Gallis HA: Trimethoprim-sulfamethoxazole therapy for Nocardia infections . Arch Intern Med 1983; 143:711-718.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Oct 1, 1986

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