KMID : 0032220080200020082
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Annals of Dermatology 2008 Volume.20 No. 2 p.82 ~ p.85
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A Case of Disseminated Nocardiosis Secondary to the Skin Nodules in an Elderly Woman
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In Seung-Gyun
Chung Moon-Hyun Choi Gwang-Seong Shin Jeong-Hyun Han Sung-Hyup
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Abstract
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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.
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KEYWORD
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Disseminated nocardiosis, Nocardia, Nocardiosis
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