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Korean Journal of Dermatology ; : 1024-1028, 2009.
Article de Coréen | WPRIM | ID: wpr-122775

RÉSUMÉ

Nocardiosis is a rare, life-threatening infection in the immunocompromised host. The causative bacteria are members of the genus Nocardia and are filamentous gram-positive bacilli that usually infect the lung, skin, and central nervous systems. Cutaneous nocardiosis presents as a disseminated infection or as a primary infection resulting from inoculation. Isolation of Nocardia from clinical specimens and identification of species is difficult and needs the expertise of a microbiologist. These infections are particularly important because of the associated high risk of dissemination. Hence, prompt identification of this organism is crucial. Herein we report a case of disseminated nocardiosis caused by N. brasiliensis in a 64-year-old man diagnosed by fine needle aspiration (FNA) and 16S ribosomal RNA sequencing. The patient was treated with trimethoprim plus sulfamethoxazole, imipenem, and amikacin with an improvement of symptoms.


Sujet(s)
Humains , Adulte d'âge moyen , Amikacine , Bactéries , Biopsie , Cytoponction , Système nerveux central , Imipénem , Sujet immunodéprimé , Poumon , Nocardia , Infections à Nocardia , ARN ribosomique 16S , Peau , Sulfaméthoxazole , Triméthoprime
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