Primary cutaneous nocardiosis in immunocompetent children |
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Authors: | Stefano Paola Cecilia Noriega Amada Libertad Kobrin Andrea Laura Conde María Fernanda Cervini Bettina Andrea Gonzalez María Teresa Laffargue Jorge Alejandro Santos Patricia Pierini Adrián Martín |
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Institution: | Medical Residents and Scholarship Fellows, Dermatology Department, Juan P. Garrahan Pediatric Hospital Buenos Aires, Argentina. |
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Abstract: | Primary cutaneous nocardiosis is an infrequent opportunistic infection that mainly affects immunodepressed hosts. We describe two immunocompetent patients who exhibited two clinical forms of cutaneous nocardiosis, a mycetoma from walking barefoot in contaminated water and in the case of the other patient a lymphocutaneous form on the basis of a stabbing-cutting injury. In both cases the tests performed ruled out any immunodeficiency, particularly chronic granulomatose disease, since nocardiosis is regarded as an infection that acts as a marker for that illness. Treatment with cotrimoxazole led to the total healing of the lesions in both patients. |
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