title: Primary cutaneous nocardiosis caused by Nocardia takedensis with pulmonary dissemination in an immunosuppressed patient.
abstract: We present a remarkable case of primary cutaneous nocardiosis with pulmonary dissemination due to Nocardia takedensis in a 76-year-old man suffering from marginal zone lymphoma and hypogammaglobulinaemia. We also discuss an alternative treatment to trimethoprim-sulfamethoxazole, which could be contraindicated due to haematological and cutaneous toxicities. This case report is of interest due to the emergence of cutaneous nocardiosis in dermatology.
authors.affiliation: Service de Dermatologie, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France.
authors.forename: Michael
authors.initials: M
authors.lastname: Benzaquen
authors.affiliation: Service de Médecine interne, Hôpital de La Timone, Assistance Publique Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France.
authors.forename: Pauline
authors.initials: P
authors.lastname: Belenotti
authors.affiliation: Service de Médecine interne générale, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
authors.forename: Dan
authors.initials: D
authors.lastname: Lebowitz
authors.affiliation: Unité de Recherche sur les Maladies Infectieuses Transmissibles et Emergentes, Aix Marseille Université, Institut Méditerranée Infection, Marseille, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Drancourt
authors.affiliation: Service de Médecine interne, Hôpital de La Timone, Assistance Publique Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France.|Service de Médecine interne générale, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
authors.forename: Jacques
authors.initials: J
authors.lastname: Serratrice
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D016867:Immunocompromised Host; D008171:Lung Diseases / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D008297:Male; D009617:Nocardia Infections / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents
keywords: 
  Nocardia takedensis
  ; primary cutaneous nocardiosis; pulmonary dissemination