Patil Sharmila P, Gautam Manjyot M, Sodha Avani A, Khan Kaleem J
D.Y.Patil Hospital and Research Centre, Navi Mumbai, India.
Dermatol Online J. 2009 Jun 15;15(6):8.
A 26-year-old male, a fisherman by occupation, presented with boggy swelling of the scalp and multiple discharging sinuses over the fronto-parietal area for one year. He described a history of periodic trauma to the scalp beginning about one year prior to the onset of the scalp condition. Histopathology suggested a chronic granulomatous suppuration. Magnetic resonance imaging showed intracranial and intra-orbital involvement. Tissue cultures of the sample identified Nocardia brasilienses. The patient was successfully treated with a modified Welsh regimen, given for eight months.
