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Category: Volume 07 Issue 04 April 2019
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Title: Nocardia yamanashiensis causing skin abscess in an immunocompetent child

Authors: Dr Netto Jacob, Dr Shanimole P E, Dr Shoba Kurian Pulikkottil, Dr Sruthi Sreedhar

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.137

Abstract

Nocardiosis is caused by an aerobic actinomycete, most commonly introduced through the respiratory tract. Primary cutaneous nocardiosis infections are rare and are caused by traumatic introduction of the organism. It manifests usually as an opportunistic infection. We report a case of cutaneous nocardiosis in an immunocompetent child, presented as an abscess. Nocardia yamanashiensis was isolated from drained pus and child responded well to antibiotics.

References

  1. Condas LAZ, Ribeiro MG, Muro MD, Vargas APC de, Matsuzawa T, Yazawa K, et al. MOLECULAR IDENTIFICATION AND ANTIMICROBIAL RESISTANCE PATTERN OF SEVEN CLINICAL ISOLATES OF Nocardia spp. IN BRAZIL. Rev Inst Med Trop São Paulo. 2015 Jun;57(3):251–6.
  2. Brown-Elliott BA, Brown JM, Conville PS, Wallace RJ. Clinical and Laboratory Features of the Nocardia spp. Based on Current Molecular Taxonomy. Clin Microbiol Rev. 2006 Apr 1;19(2):259–82.
  3. Camozzota C, Goldman A, Tchernev G, Lotti T, Wollina U. A Primary Cutaneous Nocardiosis of the Hand. Open Access Maced J Med Sci. 2017 Jul 20;5(4):470.
  4. Van Straten C, Hays R, Mitjà O, Bassat Q, Robson J, Koka M. Mycetoma Caused by Nocardia yamanashiensis, Papua New Guinea. Am J Trop Med Hyg. 2012 Jun 1;86(6):1043–5.
  5. Kageyama A. Nocardia inohanensis sp. nov., Nocardia yamanashiensis sp. nov. and Nocardia niigatensis sp. nov., isolated from clinical specimens. Int J Syst Evol Microbiol. 2004 Mar 1;54(2):563–9.
  6. Chedid MBF, Chedid MF, Porto NS, Severo CB, Severo LC. Nocardial infections: report of 22 cases. Rev Inst Med Trop São Paulo. 2007;49(4):239–46.
  7. Takiguchi Y, Ishizaki S, Kobayashi T, Sato S, Hashimoto Y, Suruga Y, et al. Pulmonary nocardiosis: a clinical analysis of 30 cases. Intern Med. 2017;56(12):1485–90.
  8. Wallace RJ, Septimus EJ, Williams TW, Conklin RH, Satterwhite TK, Bushby MB, et al. Use of trimethoprim-sulfamethoxazole for treatment of infections due to Nocardia. Rev Infect Dis. 1982 Apr;4(2):315–25.
  9. Branco L, Rodriguez-Nava V, Boiron P, Pinheiro D. Disseminated nocardiosis: report of five cases. JMM Case Rep [Internet]. 2015 Aug 1 [cited 2018 Dec 19];2(4). Available from: http://www.microbiologyresearch.org/content/journal/jmmcr/10.1099/jmmcr.0.000046
  10. Inamadar AC, Palit A. Primary cutaneous nocardiosis: A case study and review. Indian J Dermatol Venereol Leprol. 2003;69(6):386.

Corresponding Author

Dr Netto Jacob

Senior Resident, Department of Microbiology, Government Medical College, Kottayam