Primary cutaneous nocardiosis |
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Authors: | May-Sen Lee & John R Sippe |
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Institution: | Department of Dermatology, Royal Newcastle Hospital, New South Wales, Australia. antonylau@ozemail.com.au |
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Abstract: | A case of primary cutaneous nocardiosis due to Nocardia asteroides occurring in a steroid-dependent asthmatic with no history of trauma is presented. He had a 5 month history of painful nodules on his right shin and calf. He was initially treated with a 6 week course of oral cephalexin 500 mg four times daily, followed by a 2 week course of minocycline 100 mg twice daily with worsening of the infection. A 12 week course of oral clarithromycin 500 mg twice daily led to complete resolution. A discussion of the problems associated with antimicrobial susceptibility testing and nocardia resistance is presented. |
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Keywords: | clarithromycin immunosuppression minocycline Nocardia asteroides nocardia sensitivity |
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