title: A case of nocardiosis with an uncharacteristically long incubation period.
abstract: We report a case of an immunocompetent man with a 4-year history of persistent pruritic lesions along the long axis of his forearm. The symptoms began 3 years after the patient immigrated to New York from Mexico. A histopathologic evaluation demonstrated primary cutaneous nocardiosis. This rare case of Nocardia brasiliensis infection in a nontropical area raises the possibility that the incubation period for Nocardia may be longer than previously believed. Alternatively, cutaneous nocardiosis may occur in a wider geographic area than previously recognized.
authors.affiliation: New York Medical College, Valhalla, USA.
authors.forename: Erin H
authors.initials: EH
authors.lastname: Kil
authors.forename: Charlotte L
authors.initials: CL
authors.lastname: Tsai
authors.forename: Ellen H
authors.initials: EH
authors.lastname: Kwark
authors.forename: Jennifer
authors.initials: J
authors.lastname: Goldwasser
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy