Primary cutaneous Nocardia asteroides infection after heart transplantation.
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.
Merigou
D
D
Department of Dermatology, Hôpital Haut-Lévêque, CHU de Bordeaux, France.
Beylot-Barry
M
M
Ly
S
S
Doutre
M S
MS
Texier-Maugein
J
J
Billes
P
P
Beylot
C
C
D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000382:microbiology*; D009616:Nocardia asteroides; D017192:Skin Diseases, Bacterial / Q000382:microbiology*