A case of localized cutaneous nocardiosis caused by trauma with a rose thorn

Kenjiro Takei, Masakazu Takahara, Konosuke Nagae, Gaku Tsuji, Tetsuo Matsuda, Takeshi Nakahara, Hiroshi Uchi, Masutaka Furue

Research output: Contribution to journalArticle

Abstract

A 72-year-old man who had been treated for hypertension and diabetes mellitus accidentally punctured the skin of his forearm with a rose thorn 3 months before he visited our hospital. He presented with a crusted infiltrative erythema of 2 cm diameter on the left forearm and no other symptoms. Cultures of biopsied skin tissue with Sabouraud dextrose agar slants revealed white-orange colonies with a smooth surface and wrinkles. Gram staining of the cultured microorganism revealed branched bacilli. These results strongly suggested cutaneous nocardiosis. The isolated strain was finally identified as Nocardia brasiliensis by tests conducted at the Medical Mycology Research Center of Chiba University. On the basis of these findings, the patient was diagnosed with localized cutaneous nocardiosis caused by Nocardia brasiliensis. The patient was cured in 6 weeks by treatment with oral minocycline.

Original languageEnglish
Pages (from-to)142-145
Number of pages4
JournalNishinihon Journal of Dermatology
Volume77
Issue number2
DOIs
Publication statusPublished - Jan 1 2015

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this