Chu L, Xu X, Ran Y
Department of Dermatology, West China Hospital, Sichuan University No. 37 of Guo Xue Xiang, Chengdu, Sichuan, China.
Clin Exp Dermatol. 2017 Jun;42(4):416-419. doi: 10.1111/ced.13086. Epub 2017 Apr 10.
We report a case of an 87-year-old woman who presented with painful erythema of her right forearm 10 days after she had been stung by a wasp on her right hand. The lesion had rapidly deteriorated during the week before presentation, and treatment with antibiotics and glucocorticoids did not improve the condition. After careful evaluation, we performed cultures from the lesion aspiration, and morphological and genetic analysis of bacteria cultures confirmed a bacterial infection with Nocardia brasiliensis. The patient recovered after 3 weeks. Primary cutaneous nocardiosis due to Nocardia spp. is relatively uncommon in clinics, but it was the distance of the lesions from the affected area of the wasp sting that has made this an even rarer case and of interest to report.
我们报告一例87岁女性病例，她右手被黄蜂蜇伤10天后，右前臂出现疼痛性红斑。在就诊前一周，病变迅速恶化，使用抗生素和糖皮质激素治疗后病情并未改善。经过仔细评估，我们对病变抽吸物进行了培养，细菌培养的形态学和基因分析证实为巴西奴卡菌细菌感染。患者3周后康复。由奴卡菌属引起的原发性皮肤诺卡菌病在临床上相对少见，但病变部位与黄蜂蜇伤感染区域的距离使得该病例更为罕见，值得报告。
