title: Primary cutaneous Nocardia asteroides infection after heart transplantation.
abstract: Skin diseases due to Nocardia are rare in Europe and usually occur as the secondary localization of a pulmonary lesion in immunocompromised patients. We describe a cutaneous pyoderma and cold abscess due to Nocardia asteroides infection in a cardiac transplant recipient. An insect bite represents the wound of this soil saprophyte belonging to the actinomycetes. Treatment by sulfone and ampicillin-clavulanic acid allowed the regression of lesions without extracutaneous dissemination.
authors.affiliation: Department of Dermatology, Hôpital Haut-Lévêque, CHU de Bordeaux, France.
authors.forename: D
authors.initials: D
authors.lastname: Merigou
authors.forename: M
authors.initials: M
authors.lastname: Beylot-Barry
authors.forename: S
authors.initials: S
authors.lastname: Ly
authors.forename: M S
authors.initials: MS
authors.lastname: Doutre
authors.forename: J
authors.initials: J
authors.lastname: Texier-Maugein
authors.forename: P
authors.initials: P
authors.lastname: Billes
authors.forename: C
authors.initials: C
authors.lastname: Beylot
mesh_terms: D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000382:microbiology*; D009616:Nocardia asteroides; D017192:Skin Diseases, Bacterial / Q000382:microbiology*