Z'Graggen W J, Bregenzer T, Fankhauser H, Arnoux A, Laeng H, Itin P H
Department of Internal Medicine, Hospital Cantonal Aarau, Switzerland.
Eur J Dermatol. 2001 Nov-Dec;11(6):569-71.
We present a patient who was hospitalized due to a purulent skin lesion with a surrounding erythematous area in the region of the right paranasal crease accompanied by a swelling of the right eyelid. Initially the diagnosis of a carbuncle caused by an infection with Staphylococcus aureus was supposed. A surgical debridement was performed and an antibiotic therapy was started. Only special microbial investigations requested by the clinician led to the diagnosis of a cutaneous infection with Nocardia brasiliensis. The presented case is remarkable because the nocardia infection was in an immune-competent patient and the patient showed a primary cutaneous nocardiosis without dissemination.
我们报告一位患者，其因右侧鼻旁皱襞区域出现伴有右眼睑肿胀的脓性皮肤病变及周围红斑区域而住院。最初推测诊断为金黄色葡萄球菌感染引起的痈。进行了手术清创并开始抗生素治疗。仅在临床医生要求进行特殊微生物检查后，才诊断为巴西诺卡菌皮肤感染。该病例值得关注，因为诺卡菌感染发生在免疫功能正常的患者身上，且患者表现为原发性皮肤诺卡菌病，无播散。
