Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis

S. Padron, M. Dominguez, R. Drosd, M. J. Robinson

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

A 56 yr old white woman showed an indurated, ulcerated lesion on the dorsal surface of the middle phalanx of the left middle finger and several erythematous nodules on the left forearm. The lesion on the finger appeared several days after working in the garden and the arm nodules developed a few days later. Penicillin and ampicillin were given for 10 days without improvement. At the end of that time, an indurated pustule was present at the site of the primary inoculation with lymphangitis extending up her left forearm. The axillary lymph nodes were enlarged and nontender. Sporotrichosis was suspected on clinical grounds. Microscopic examination of smears revealed the presence of fine gram positive branching organisms. An organism was cultured which was identified as Nocardia brasiliensis, sensitive to erythromycin. Erythromycin, 250 mg t.i.d., was given and potassium iodide, 20 drops t.i.d. The lesions showed slight improvement. The skin biopsy showed epitheliomatous hyperplasia with focal parakeratosis. In both the superficial and deep dermis, noncaseating granulomas were present. This patient with lymphocutaneous infection by Nocardia brasiliensis is the 8th recorded case of this form of the disease and the 1st from Florida.

Original languageEnglish
Pages (from-to)609-612
Number of pages4
JournalSouthern Medical Journal
Volume66
Issue number5
StatePublished - Dec 1 1973
Externally publishedYes

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Sporotrichosis
Nocardia Infections
Erythromycin
Forearm
Fingers
Lymphangitis
Parakeratosis
Potassium Iodide
Nocardia
Ampicillin
Dermis
Granuloma
Penicillins
Hyperplasia
Arm
Lymph Nodes
Biopsy
Skin
Gardens

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Padron, S., Dominguez, M., Drosd, R., & Robinson, M. J. (1973). Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis. Southern Medical Journal, 66(5), 609-612.

Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis. / Padron, S.; Dominguez, M.; Drosd, R.; Robinson, M. J.

In: Southern Medical Journal, Vol. 66, No. 5, 01.12.1973, p. 609-612.

Research output: Contribution to journalArticle

Padron, S, Dominguez, M, Drosd, R & Robinson, MJ 1973, 'Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis', Southern Medical Journal, vol. 66, no. 5, pp. 609-612.
Padron S, Dominguez M, Drosd R, Robinson MJ. Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis. Southern Medical Journal. 1973 Dec 1;66(5):609-612.
Padron, S. ; Dominguez, M. ; Drosd, R. ; Robinson, M. J. / Lymphocutaneous Nocardia brasiliensis infection mimicking sporotrichosis. In: Southern Medical Journal. 1973 ; Vol. 66, No. 5. pp. 609-612.
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