Maraki Sofia, Chochlidakis Stavros, Nioti Eleni, Tselentis Yannis
Department of Clinical Bacteriology, Parasitology, Zoonoses and Geographical Medicine, University Hospital of Crete, 712 01 Heraklion, Crete, Greece.
Ann Clin Microbiol Antimicrob. 2004 Nov 15;3:24. doi: 10.1186/1476-0711-3-24.
Nocardia brasiliensis is a rare human pathogen usually associated with localized cutaneous infections.
We report a case of primary lymphocutaneous Nocardia brasiliensis infection developed after a bone fracture of the left hand of an otherwise healthy 32-year-old man. Treatment with trimethoprim-sulfamethoxazole given for a total of three months combined with surgical debridement resulted in complete resolution of the infection.
Nocardiosis should be part of the differential diagnosis in patients with sporotrichoid infection, particularly those with a history of outdoor injury. Culture of the affected tissue and antimicrobial susceptibility testing of the isolate should be performed for diagnosis and treatment.
巴西奴卡菌是一种罕见的人类病原体，通常与局部皮肤感染有关。
我们报告一例原发性淋巴皮肤型巴西奴卡菌感染病例，该病例发生在一名32岁身体健康的男性左手骨折后。给予复方磺胺甲恶唑治疗共三个月，并结合手术清创，感染得以完全消退。
奴卡菌病应作为孢子丝菌病样感染患者鉴别诊断的一部分，尤其是有户外受伤史的患者。应对受影响组织进行培养，并对分离株进行药敏试验，以用于诊断和治疗。
