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KMID : 0032220080200020082
Annals of Dermatology
2008 Volume.20 No. 2 p.82 ~ p.85
A Case of Disseminated Nocardiosis Secondary to the Skin Nodules in an Elderly Woman
In Seung-Gyun

Chung Moon-Hyun
Choi Gwang-Seong
Shin Jeong-Hyun
Han Sung-Hyup
Abstract
Nocardiosis refers to a locally invasive or disseminated infection associated with the Nocardia species. Most infections enter through the respiratory tract and then disseminate systemically. Rarely can a primary nocardial infection of the skin spread to contiguous structures or disseminate to other internal organs in immunocompromised hosts. We describe a 70-year-old woman who suffered from recurrent nodular skin lesions on her right hand, forearm and elbow following inoculation of a traumatic injury. Analysis of the purulent exudates obtained from the nodule revealed Nocardia species. After 20 days, a chest X-ray showed newly developed multiple nodules in both lungs. The diagnosis of systemic ocardiosis was established, and we treated this case with trimethoprim-sulfamethoxazole.
KEYWORD
Disseminated nocardiosis, Nocardia, Nocardiosis
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