Paredes B E, Hunger R E, Braathen L R, Brand C U
Dermatological Clinic, University of Berne, Inselspital, Berne, Switzerland.
Dermatology. 1999;198(2):159-61. doi: 10.1159/000018094.
We report the case of a primary lymphocutaneous nocardiosis occurring on the right calf of a healthy 56-year-old man after an insect bite. Analysis of the purulent exudate obtained from the nodule revealed Nocardia brasiliensis. The initial therapy with trimethoprim-sulfamethoxazole had to be stopped due to a drug eruption. However, with minocycline treatment the patient recovered within 5 weeks. Superficial (sporotrichoid) infections and a history of outdoor injury should be considered suspicious for cutaneous nocardiosis.
我们报告一例原发性皮肤诺卡菌病，发生在一名56岁健康男性的右小腿，病发于昆虫叮咬后。对从结节获取的脓性渗出物进行分析，发现为巴西诺卡菌。由于药物疹，不得不停止最初使用的甲氧苄啶-磺胺甲恶唑治疗。然而，通过米诺环素治疗，患者在5周内康复。对于皮肤诺卡菌病，浅表（孢子丝菌病样）感染和户外受伤史应被视为可疑症状。
