Lymphocutaneous nocardiosis caused by Nocardia asteroides. Case report and literature review

Tsuboi, Ryoji

doi:10.1001/archderm.122.10.1183

Cited by 14 publications

(17 citation statements)

References 1 publication

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“…Patients with these chronic infections may have a history of a specific minor localized traumatic injury (414,557). The foot is the most common site of involvement (104,110,154,620); however, the hand (12,93,189,374,414,595), face (432), and neck (129) may also be affected. Walking barefooted may be the major mode of acquisition of these infections, since this practice potentially exposes the feet to repeated soil-contaminated puncture wounds.…”

Section: Epidemiologic Aspects Of Infection In Humansmentioning

confidence: 99%

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The medically important aerobic actinomycetes: epidemiology and microbiology

1994

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The aerobic actinomycetes are soil-inhabiting microorganisms that occur worldwide. In 1888, Nocard first recognized the pathogenic potential of this group of microorganisms. Since then, several aerobic actinomycetes have been a major source of interest for the commercial drug industry and have proved to be extremely useful microorganisms for producing novel antimicrobial agents. They have also been well known as potential veterinary pathogens affecting many different animal species. The medically important aerobic actinomycetes may cause significant morbidity and mortality, in particular in highly susceptible severely immunocompromised patients, including transplant recipients and patients infected with human immunodeficiency virus. However, the diagnosis of these infections may be difficult, and effective antimicrobial therapy may be complicated by antimicrobial resistance. The taxonomy of these microorganisms has been problematic. In recent revisions of their classification, new pathogenic species have been recognized. The development of additional and more reliable diagnostic tests and of a standardized method for antimicrobial susceptibility testing and the application of molecular techniques for the diagnosis and subtyping of these microorganisms are needed to better diagnose and treat infected patients and to identify effective control measures for these unusual pathogens. We review the epidemiology and microbiology of the major medically important aerobic actinomycetes.

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Section: Epidemiologic Aspects Of Infection In Humansmentioning

confidence: 99%

“…It is necessary to perform an appropriate laboratory diagnostic workup to exclude misdiagnosis of the disease as sporotrichosis (47,595,643). More localized lesions may also be misdiagnosed as staphylococcal skin infections.…”

Section: Epidemiologic Aspects Of Infection In Humansmentioning

confidence: 99%

The medically important aerobic actinomycetes: epidemiology and microbiology

1994

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“…In our case, inoculation after insect bites was suspected, as recently described [13]. Cutaneous nocardiosis has often a deceptive clinical aspect with four kinds of lesions that can be associated together as in our patient: mycetoma [5], lymphocutaneous infection with sporotrichoid lesions [7, 9, 10, 11], abscess or cellulitis [1, 4, 7] and disseminated lesions. Lesions mimicking staphylococcal carbuncles have already been described once after renal transplantation [4].…”

Section: Discussionmentioning

confidence: 53%

“…Indeed, nocardial infections are worldwide diseases, but most publications are from the USA [1, 4, 5, 6, 7, 8], South America or Japan [9, 10, 11]. In patients with immunosuppressive treatment [3] or underlying disease such as malignancy, lupus erythematosus [10], diabetes mellitus [5], human immunodeficiency virus infection, leukemia, renal [4, 8] or cardiac transplantation [12], N. asteroides induces visceral systemic involvement; its weaker virulence explains that it rarely causes primary cutaneous infection [7, 9, 11]. …”

Section: Discussionmentioning

confidence: 99%

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Primary Cutaneous <i>Nocardia asteroides </i>Infection after Heart Transplantation

Mérigou

Beylot‐Barry²,

Ly³

et al. 1998

Dermatology

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Skin diseases due to Nocardia are rare in Europe and usually occur as the secondary localization of a pulmonary lesion in immunocompromised patients. We describe a cutaneous pyoderma and cold abscess due to Nocardia asteroides infection in a cardiac transplant recipient. An insect bite represents the wound of this soil saprophyte belonging to the actinomycetes. Treatment by sulfone and ampicillin-clavulanic acid allowed the regression of lesions without extracutaneous dissemination.

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Bacterial Infections

Adriaans

2010

Rook's Textbook of Dermatology

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Lymphocutaneous nocardiosis caused by Nocardia asteroides. Case report and literature review

Cited by 14 publications

References 1 publication

The medically important aerobic actinomycetes: epidemiology and microbiology

The medically important aerobic actinomycetes: epidemiology and microbiology

Primary Cutaneous <i>Nocardia asteroides </i>Infection after Heart Transplantation

Bacterial Infections

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