title: Primary Nocardia brasiliensis of the eyelid.
abstract: OBJECTIVE
  To report a rare case of lymphocutaneous Nocardia brasiliensis originating in the eyelid.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  The clinical presentation, workup, and treatment of a case of lymphocutaneous Nocardia brasiliensis originating in the eyelid are presented.
  
  
  RESULTS
  The patient presented with a preseptal cellulitis from an abrasion of the eyelid that progressed to submandibular lymph node suppuration. Culture was performed, and a diagnosis of lymphocutaneous Nocardia brasiliensis was made.
  
  
  CONCLUSIONS
  Nocardia brasiliensis may cause a lymphocutaneous infection of the face and must be considered in the differential diagnosis of preseptal cellulitis.
authors.affiliation: Department of Ophthalmology, University of Cincinnati College of Medicine, 10494 Montgomery Road, Cincinnati, OH 45242, USA. paulbrannan@hotmail.com
authors.forename: Paul A
authors.initials: PA
authors.lastname: Brannan
authors.forename: Robert C
authors.initials: RC
authors.lastname: Kersten
authors.forename: Donald T
authors.initials: DT
authors.lastname: Hudak
authors.forename: Heidi K
authors.initials: HK
authors.lastname: Anderson
authors.forename: Dwight R
authors.initials: DR
authors.lastname: Kulwin
mesh_terms: D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005141:Eyelid Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology; D008206:Lymphatic Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D019980:Amoxicillin-Potassium Clavulanate Combination; D015662:Trimethoprim, Sulfamethoxazole Drug Combination