Ann Dermatol.  1999 Apr;11(2):90-93. 10.5021/ad.1999.11.2.90.

A Case of Primary Cutaneous Sporotrichoid Nocardiosis Caused by Nocardia asteroides

• Lee SH
• Suh CW
• Choi JH
• Sung KJ
• Moon KC
• Koh JK

• KMID: 2359739
• DOI: http://doi.org/10.5021/ad.1999.11.2.90

Abstract

We report a case of a 42-year-old woman who suffered from recurrent nodular skin lesions on her left foot. Sporotrichoid fungal infection was suspected and two linear nodular skin lesions that had occurred after trauma in a public pool were treated with itraconazole for 4 months. These nodular skin lesions were completely flattened. However, four months after complete flattening, a new lesion developed in the scar of a previous nodule. N. asteroides, which is extremely rare for sporotrichoid cutaneous nocardiosis, was cultured from the relapsed lesion. We treated this case with trimethoprim-sulfamethoxazole for 6 months under an emperical basis and this resulted in complete healing, and sensitivity of N. asteroide to trimethoprim-sulfamethoxazole was confirmed later. There has been no recurrence for 3 years. To our knowledge, our case is the first report in the english literature of primary sporotrichoid cutaneous nocardiosis caused by N. asteroides in terms of anatomic location below the knee and host immunocompetency.

Keyword

Primary sporotrichoid cutaneous nocardiosis; Nocardia asteroides

MeSH Terms

Adult
Cicatrix
Female
Foot
Humans
Itraconazole
Knee
Nocardia asteroides*
Nocardia Infections*
Nocardia*
Recurrence
Skin
Trimethoprim, Sulfamethoxazole Drug Combination
Itraconazole
Trimethoprim, Sulfamethoxazole Drug Combination