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Sporotrichoid Skin Infection Caused by Nocardia brasiliensis in a Kidney Transplant Patient

Miller School of Medicine, University of Miami, Miami, FL 33136, USA
Texas Health Presbyterian Hospital, Dallas, TX 75231, USA
Health Science Center, Louisiana State University, Shreveport, LA 71103, USA
Author to whom correspondence should be addressed.
Diseases 2018, 6(3), 68;
Received: 4 July 2018 / Revised: 21 July 2018 / Accepted: 23 July 2018 / Published: 25 July 2018
(This article belongs to the Section Infectious Disease)
PDF [2147 KB, uploaded 27 July 2018]


Prompt and accurate diagnosis of Nocardia skin infections is important in immunocompromised hosts, especially transplant patients. The sporotrichoid form, which is otherwise known as the lymphocutaneous form of Nocardia skin involvement, can mimic other conditions, including those caused by fungi, mycobacteria, spirochetes, parasites and other bacteria. Delayed or inaccurate diagnosis and treatment of Nocardia skin infections in transplant patients could lead to dissemination of disease and other poor outcomes. Nocardia brasiliensis is a rare cause of lymphocutaneous nocardiosis in solid organ transplant patients with only two other cases reported to our knowledge. This case describes a middle-aged man, who presented 16 years post kidney transplant. He developed a sporotrichoid lesion on his upper extremity one week after gardening. Ultrasound showed a 35-cm abscess tract on his forearm, which was subsequently drained. Nocardia brasiliensis was isolated from pus culture and he was treated successfully with amoxicillin/clavulanate for 6 months. A review of the relevant literature is included. View Full-Text
Keywords: Nocardia brasiliensis; sporotrichoid; kidney transplant; lymphocutaneous; skin lesions Nocardia brasiliensis; sporotrichoid; kidney transplant; lymphocutaneous; skin lesions

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Ayoade, F.; Mada, P.; Joel Chandranesan, A.S.; Alam, M. Sporotrichoid Skin Infection Caused by Nocardia brasiliensis in a Kidney Transplant Patient. Diseases 2018, 6, 68.

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