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Primary cutaneous nocardiosis in immunocompetent children


European Journal of Dermatology. Volume 16, Number 4, 406-8, July-August 2006, Clinical report

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Author(s) : Paola Cecilia Stefano, Amada Libertad Noriega, Andrea Laura Kobrin, María Fernanda Conde, Bettina Andrea Cervini, María Teresa Gonzalez, Jorge Alejandro Laffargue, Patricia Santos, Adrián Martín Pierini

Summary : 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.

Keywords : children, immune system, immunodepressed hosts, lymphocutaneous nocardiosis, mycetoma, primary cutaneous nocardiosis

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