Primary cutaneous nocardiosis in immunocompetent children.
Primary cutaneous nocardiosis is an infrequent opportunistic infection that mainly affects immunodepressed hosts. We describe two immunocompetent patients who exhibited two clinical forms of cutaneous nocardiosis, a mycetoma from walking barefoot in contaminated water and in the case of the other patient a lymphocutaneous form on the basis of a stabbing-cutting injury. In both cases the tests performed ruled out any immunodeficiency, particularly chronic granulomatose disease, since nocardiosis is regarded as an infection that acts as a marker for that illness. Treatment with cotrimoxazole led to the total healing of the lesions in both patients.
Stefano
Paola Cecilia
PC
Medical Residents and Scholarship Fellows, Dermatology Department, Juan P. Garrahan Pediatric Hospital Buenos Aires, Argentina.
Noriega
Amada Libertad
AL
Kobrin
Andrea Laura
AL
Conde
María Fernanda
MF
Cervini
Bettina Andrea
BA
Gonzalez
María Teresa
MT
Laffargue
Jorge Alejandro
JA
Santos
Patricia
P
Pierini
Adrián Martín
AM
D002648:Child; D006801:Humans; D007121:Immunocompetence; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy; D017192:Skin Diseases, Bacterial / Q000175:diagnosis / Q000188:drug therapy