title: Primary cutaneous nocardiosis in immunocompetent children.
abstract: 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.
authors.affiliation: Medical Residents and Scholarship Fellows, Dermatology Department, Juan P. Garrahan Pediatric Hospital Buenos Aires, Argentina.
authors.forename: Paola Cecilia
authors.initials: PC
authors.lastname: Stefano
authors.forename: Amada Libertad
authors.initials: AL
authors.lastname: Noriega
authors.forename: Andrea Laura
authors.initials: AL
authors.lastname: Kobrin
authors.forename: María Fernanda
authors.initials: MF
authors.lastname: Conde
authors.forename: Bettina Andrea
authors.initials: BA
authors.lastname: Cervini
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Gonzalez
authors.forename: Jorge Alejandro
authors.initials: JA
authors.lastname: Laffargue
authors.forename: Patricia
authors.initials: P
authors.lastname: Santos
authors.forename: Adrián Martín
authors.initials: AM
authors.lastname: Pierini
mesh_terms: 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