title: Primary cutaneous nocardiosis in an immune-competent patient.
abstract: We present a patient who was hospitalized due to a purulent skin lesion with a surrounding erythematous area in the region of the right paranasal crease accompanied by a swelling of the right eyelid. Initially the diagnosis of a carbuncle caused by an infection with Staphylococcus aureus was supposed. A surgical debridement was performed and an antibiotic therapy was started. Only special microbial investigations requested by the clinician led to the diagnosis of a cutaneous infection with Nocardia brasiliensis. The presented case is remarkable because the nocardia infection was in an immune-competent patient and the patient showed a primary cutaneous nocardiosis without dissemination.
authors.affiliation: Department of Internal Medicine, Hospital Cantonal Aarau, Switzerland.
authors.forename: W J
authors.initials: WJ
authors.lastname: Z'Graggen
authors.forename: T
authors.initials: T
authors.lastname: Bregenzer
authors.forename: H
authors.initials: H
authors.lastname: Fankhauser
authors.forename: A
authors.initials: A
authors.lastname: Arnoux
authors.forename: H
authors.initials: H
authors.lastname: Laeng
authors.forename: P H
authors.initials: PH
authors.lastname: Itin
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D002270:Carbuncle / Q000175:diagnosis; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009615:Nocardia / Q000302:isolation & purification; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D010406:Penicillins / Q000627:therapeutic use; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
chemical_list: D010406:Penicillins; D000658:Amoxicillin