A Case of Primary Cutaneous Sporotrichoid Nocardiosis Caused by Nocardia asteroides.
10.5021/ad.1999.11.2.90
- Author:
Sang Hyub LEE
;
Chi Woo SUH
;
Jee Ho CHOI
;
Kyung Jeh SUNG
;
Kee Chan MOON
;
Jai Kyoung KOH
- Publication Type:Case Report
- Keywords:
Primary sporotrichoid cutaneous nocardiosis;
Nocardia asteroides
- MeSH:
Adult;
Cicatrix;
Female;
Foot;
Humans;
Itraconazole;
Knee;
Nocardia asteroides*;
Nocardia Infections*;
Nocardia*;
Recurrence;
Skin;
Trimethoprim, Sulfamethoxazole Drug Combination
- From:Annals of Dermatology
1999;11(2):90-93
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a 42-year-old woman who suffered from recurrent nodular skin lesions on her left foot. Sporotrichoid fungal infection was suspected and two linear nodular skin lesions that had occurred after trauma in a public pool were treated with itraconazole for 4 months. These nodular skin lesions were completely flattened. However, four months after complete flattening, a new lesion developed in the scar of a previous nodule. N. asteroides, which is extremely rare for sporotrichoid cutaneous nocardiosis, was cultured from the relapsed lesion. We treated this case with trimethoprim-sulfamethoxazole for 6 months under an emperical basis and this resulted in complete healing, and sensitivity of N. asteroide to trimethoprim-sulfamethoxazole was confirmed later. There has been no recurrence for 3 years. To our knowledge, our case is the first report in the english literature of primary sporotrichoid cutaneous nocardiosis caused by N. asteroides in terms of anatomic location below the knee and host immunocompetency.