✦ LIBER ✦

Primary cutaneous nocardiosis

✍ Scribed by May-Sen Lee; John R Sippe

Publisher: John Wiley and Sons
Year: 1999
Tongue: English
Weight: 115 KB
Volume: 40
Category: Article
ISSN: 0004-8380
DOI: 10.1046/j.1440-0960.1999.00331.x

No coin nor oath required. For personal study only.

✦ Synopsis

A case of primary cutaneous nocardiosis due to Nocardia asteroides occurring in a steroid-dependent asthmatic with no history of trauma is presented. He had a 5 month history of painful nodules on his right shin and calf. He was initially treated with a 6 week course of oral cephalexin 500 mg four times daily, followed by a 2 week course of minocycline 100 mg twice daily with worsening of the infection. A 12 week course of oral clarithromycin 500 mg twice daily led to complete resolution. A discussion of the problems associated with antimicrobial susceptibility testing and nocardia resistance is presented.

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