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KMID : 0363220090470091024
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Korean Journal of Dermatology
2009 Volume.47 No. 9 p.1024 ~ p.1028
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Shin Jung-U
Kwon Yeon-Sook
Kim Hee-Jung
Park Yong-Jung
Lee Kyung-Won
Lee Kwang-Hoon
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Abstract
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Nocardiosis is a rare, life-threatening infection in the immunocompromised host. The causative bacteria are members of the genus Nocardia and are filamentous gram-positive bacilli that usually infect the lung, skin, and central nervous systems. Cutaneous nocardiosis presents as a disseminated infection or as a primary infection resulting from inoculation. Isolation of Nocardia from clinical specimens and identification of species is difficult and needs the expertise of a microbiologist. These infections are particularly important because of the associated high risk of dissemination. Hence, prompt identification of this organism is crucial. Herein we report a case of disseminated nocardiosis caused by N. brasiliensis in a 64-year-old man diagnosed by fine needle aspiration (FNA) and 16S ribosomal RNA sequencing. The patient was treated with trimethoprim plus sulfamethoxazole, imipenem, and amikacin with an improvement of symptoms.
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KEYWORD
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Cutaneous, Nocardiosis, N. brasilliensis
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