A case report and review of lymphocutaneous nocardiosis caused by Nocardia brasiliensis reported in China

• Published in: Dermatologic therapy Vol. 32; no. 5; pp. e13001 - n/a
• Main Authors: Mu, Yun‐Zhu, Liu, Ying‐, Wang, Yu‐Juan, Zhang, Zheng‐Zhong
• Format: Journal Article
• Language: English
• Published: Hoboken, USA John Wiley & Sons, Inc 01.09.2019
• Subjects: Adult; Biopsy; China; Diagnosis, Differential; Female; Forearm; Humans; insect bite; Lymphangitis - diagnosis; Lymphangitis - microbiology; lymphocutaneous type; Nocardia - isolation & purification; Nocardia brasiliensis; Nocardia Infections - diagnosis; Nocardia Infections - microbiology; primary cutaneous nocardiosis; Skin - microbiology; Skin - pathology; Skin Diseases, Bacterial; treatment; China; treatment; lymphocutaneous type; insect bite; primary cutaneous nocardiosis; Nocardia brasiliensis
• ISSN: 1396-0296; 1529-8019
• DOI: 10.1111/dth.13001

Primary cutaneous nocardiosis caused by Nocardia brasiliensis is an uncommon disease. The present authors report a Chinese woman presented with lymphocutaneous nocardiosis caused by N. brasiliensis. The lesion begin with her right hand after an unknown insect sting and evolved rapidly and formed painful erythema and two subcutaneous nodules and abscesses on her right forearm in 5 days. N. brasiliensis was isolated from pustule and identified by gene sequencing. The patient received 2 weeks of combination therapy contained infusion of amoxilin potassioum clavinet and oral TMP/SMX and followed by a single therapy of oral TMP/SMX for 1 month and got a marked improvement. The present authors reviewed a case of lymphocutaneous nocardiosis caused by N. brasiliensis reported in China.