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Annals of Clinical & Laboratory Science 33:329-333 (2003)
© 2003 Association of Clinical Scientists

Case Report

Nocardia asteroides Mycetoma

Christopher A. Lum1 and Manjunath S. Vadmal2
1 Department of Pathology and 2 Department of Dermatology, LAC-USC Medical Center, University of Southern California-Keck School of Medicine, Los Angeles, California

Address correspondence to Manju Vadmal, M.D., LAC-USC Medical Center, 1200 N. State Street, GH-2520, Los Angeles, CA, 90033, USA; tel 323 226 3373; fax 323 226 7487; e-mail: vadmal{at}usc.edu.

Abstract

Primary cutaneous infections with Nocardia asteroides are rare and have been reported in immunocompromised patients. Herein, we report a case of primary cutaneous Nocardia asteroides mycetoma of the skin in an immunocompetent individual. The infection was treated successfully with trimethoprim-sulfamethoxazole. Because a prolonged incubation time is required for the cultures and since additional biochemical tests are necessary for identification of this species, the clinician should alert the microbiology laboratory when such an infection is suspected clinically.

Keywords: Nocardia asteroids, mycetoma, fungus, skin, infection




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