title: Lymphocutaneous nocardiosis and cutaneous pheohyphomycosis in a liver transplant recipient.
abstract: BACKGROUND
  Infections are the leading cause of morbidity and mortality in transplanted patients. The increasing number of immunocompromised patients has not only augmented infections by specific pathogens, but also by opportunistic microbial agents.
  
  
  METHODS
  A mixed cutaneous infection caused by Nocardia brasiliensis and Exophiala jeanselmei is reported in a liver transplant patient.
  
  
  RESULTS
  The cutaneous lesions were painful nodules which drained purulent material. They were located on the right lower limb, with lymphadenopathies in the groin.
  
  
  CONCLUSIONS
  The patient was treated with itraconazole (600 mg/day) plus trimethoprim (1600 mg/day)-sulfamethoxazole (320 mg/day) for 8 weeks, with complete remission of the lesions.
authors.affiliation: Dermatology Department, Italian Hospital, Buenos Aires, Argentina.
authors.forename: Isabel Hidalgo
authors.initials: IH
authors.lastname: Parra
authors.forename: Ricardo
authors.initials: R
authors.lastname: Galimberti
authors.forename: Gastón
authors.initials: G
authors.lastname: Galimberti
authors.forename: Barbara
authors.initials: B
authors.lastname: Guanella
authors.forename: Alicia
authors.initials: A
authors.lastname: Kowalczuk
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005093:Exophiala / Q000302:isolation & purification; D006801:Humans; D016867:Immunocompromised Host; D017964:Itraconazole / Q000627:therapeutic use; D016031:Liver Transplantation; D008205:Lymphangitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D009615:Nocardia / Q000302:isolation & purification; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D009894:Opportunistic 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: D000890:Anti-Infective Agents; D017964:Itraconazole; D015662:Trimethoprim, Sulfamethoxazole Drug Combination