Hiruma M, Kawada A, Ishibashi A, Mikami Y
Department of Dermatology, National Defense Medical College, Saitama, Japan.
Mycopathologia. 1992 Mar;117(3):133-8. doi: 10.1007/BF00442773.
We report a case of localized cutaneous nocardiosis due to Nocardia asteroides, appearing on the anterior surface of the right forearm of a 29-year-old woman. Examination of the skin revealed a firm subcutaneous nodule measuring 32 x 20 mm and accompanied with a small ulcer. The histology of the lesion showed granulomatous changes interspersed with large numbers of polymorphonuclear leukocytes. On Gram staining, a few bacillary bodies were found scattered through the lesion, but no grains were detected. The classification of the clinical types of cutaneous nocardiosis is discussed, and the Japanese literature on localized cutaneous nocardiosis is examined.
我们报告了一例由星形诺卡菌引起的局限性皮肤诺卡菌病，发生在一名29岁女性的右前臂前侧。皮肤检查发现一个质地坚硬的皮下结节，大小为32×20mm，并伴有一个小溃疡。病变组织学显示有肉芽肿性改变，其间散在大量多形核白细胞。革兰氏染色显示，病变处散在少量杆菌体，但未检测到颗粒。本文讨论了皮肤诺卡菌病临床类型的分类，并查阅了日本关于局限性皮肤诺卡菌病的文献。
