title: Testicular nocardiosis accompanied by cutaneous lesions in an immunocompetent man.
abstract: We herein report the case of a 77-year-old man admitted for an acute cutaneous infection and persistent fever. A physical examination revealed systemic small blisters and scrotal swelling. He was suspected of having complications from chickenpox or bullous impetigo as the initial diagnosis. Nocardia was detected on an aspiration biopsy of the small blisters and the surgically removed testis at a later date. Testicular nocardiosis is a rare condition; however, we should consider nocardiosis in the differential diagnosis because delay in providing treatment may worsen a patient's general condition.
authors.affiliation: Department of Internal Medicine, Tokushima Prefectural Central Hospital, Japan. futuyaso007@yahoo.co.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamaguchi
authors.forename: Etsuko
authors.initials: E
authors.lastname: Sekimoto
authors.forename: Atsuhisa
authors.initials: A
authors.lastname: Shirakami
authors.forename: Hironobu
authors.initials: H
authors.lastname: Shibata
authors.forename: Shuji
authors.initials: S
authors.lastname: Ozaki
authors.forename: Toshio
authors.initials: T
authors.lastname: Shigekiyo
authors.forename: Toshinori
authors.initials: T
authors.lastname: Noda
authors.forename: Takanori
authors.initials: T
authors.lastname: Shikiji
authors.forename: Kazuya
authors.initials: K
authors.lastname: Kanda
authors.forename: Takanori
authors.initials: T
authors.lastname: Hirose
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Matsuzawa
authors.forename: Tohru
authors.initials: T
authors.lastname: Gonoi
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007262:Infusions, Intravenous; D008297:Male; D000077731:Meropenem; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy; D035583:Rare Diseases; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D013737:Testis / Q000382:microbiology* / Q000473:pathology; D013845:Thienamycins / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D013845:Thienamycins; D000077731:Meropenem