Primary cutaneous nocardiosis with craniocerebral extension: a case report.
A 26-year-old male, a fisherman by occupation, presented with boggy swelling of the scalp and multiple discharging sinuses over the fronto-parietal area for one year. He described a history of periodic trauma to the scalp beginning about one year prior to the onset of the scalp condition. Histopathology suggested a chronic granulomatous suppuration. Magnetic resonance imaging showed intracranial and intra-orbital involvement. Tissue cultures of the sample identified Nocardia brasilienses. The patient was successfully treated with a modified Welsh regimen, given for eight months.
Patil
Sharmila P
SP
D.Y.Patil Hospital and Research Centre, Navi Mumbai, India. drsharmilapatil@gmail.com
Gautam
Manjyot M
MM
Sodha
Avani A
AA
Khan
Kaleem J
KJ
D000328:Adult; D001847:Bone Diseases / Q000382:microbiology*; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000150:complications*; D009916:Orbital Diseases / Q000382:microbiology*; D012536:Scalp Dermatoses / Q000382:microbiology*; D012886:Skull