title: Primary cutaneous nocardiosis.
abstract: Nocardiosis is a rare human infection due to ubiquitous soil born gram-positive, filametous aerobic bacteria. First signs are frequently cutaneous either as part of systemic infection disseminated to the skin, or as primary cutaneous inoculation. An 88 years old man presented with a 3-day history of red papules and pustules with pain on his forehead. The combination of the unusual clinical presentation, laboratory examinations, and a favorable response to co-trimoxazole therapy were consistent with a diagnosis of primary cuteneous nocardiosis. Early recognition and treatment of the disease will improve the cure rate.
authors.affiliation: Department of Dermatology, Renmin Hospital of Wuhan University, Wuhan, China.
authors.forename: Shan
authors.initials: S
authors.lastname: Jiang
authors.affiliation: Department of Dermatology, Renmin Hospital of Wuhan University, Wuhan, China.
authors.forename: Guan
authors.initials: G
authors.lastname: Jiang
authors.affiliation: Department of Dermatology, Renmin Hospital of Wuhan University, Wuhan, China.
authors.forename: Tie-Chi
authors.initials: TC
authors.lastname: Lei
mesh_terms: D000284:Administration, Oral; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy*; D009616:Nocardia asteroides / Q000302:isolation & purification*; D012867:Skin / Q000382:microbiology; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination