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IP International Journal of Medical Paediatrics and Oncology


Primary cutaneous nocardiosis: case report and review


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Author Details: Tarachand Saini, Pramod Kumar Berwal, Niranjan Nagaraj, Monika Sharma

Volume : 2

Issue : 2

Online ISSN : 2581-4702

Print ISSN : 2581-4699

Article First Page : 76

Article End Page : 78


Abstract

Background: Infection caused by Nocardia species are uncommon and primary cutaneous nocardiosis is relatively rare. The lymphocutaneous pattern of the disease is the rarest type and commonly occurs in otherwise healthy individuals1. Clinically it can present as superficial acute skin and soft tissue infection (abcess or cellulitis), a lymphocutaneous infection and a deeper infection, mycetoma9. Mycetoma is commoner than other two variants. Here we report an interesting case of primary cutaneous nocardiosis (PCN) in posterior auricular, ear pinna and cervical region, progressing to lymphocutaneus nocardiosis which is a rare site.

Keywords: Nocardiosis, Children, Pedal edema, Bikaner

Case history:
The child presented with bilateral pedal edema, loose motions, vomiting and a pustule behind right ear pinna and redness of inner aspect of pinna. The patient was diagnosed as PCN caused by Nocardia species grown on pus culture. Patient was a severe acute malnourished child and approximately treated according to sensitivity of antibiotics and drainage of abscess done