Cutaneous nocardiosis developing around gravel inserted during a traffic injury.
A 65-year-old Japanese woman with nocardial mycetoma which developed five years after a compound bone fracture of the left foot due to a traffic accident was reported. During this accident, two small pieces of gravel had entered her foot. Nocardia asteroides, which had been attached to the gravel, was probably inserted 5 years previously during the trauma. The lesion did not respond to oral minocycline and trimethoprim-sulfamethoxazole and was finally removed surgically; she has been free from recurrences for one year, of follow-up.
Gyotoku
Takashi
T
Department of Dermatology, Kumamoto University School of Medicine, Honjo, Kumamoto, Japan.
Kayashima
Ken-ichi
K
Nishimoto
Katsutaro
K
Ono
Tomomichi
T
D000063:Accidents, Traffic; D000368:Aged; D000900:Anti-Bacterial Agents; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D005528:Foot; D006801:Humans; D007150:Immunohistochemistry; D008271:Mycetoma / Q000175:diagnosis* / Q000628:therapy; D009617:Nocardia Infections / Q000175:diagnosis* / Q000628:therapy; D009616:Nocardia asteroides / Q000302:isolation & purification*; D018570:Risk Assessment; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000628:therapy; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents