Acute primary cutaneous Nocardia asteroides infection in a patient with systemic lupus erythematosus. Case report

Lopes, Jorge O.; Silva, Cristina B.; Kmohan, Cláudio; Oliveira, Loiva T. O.; Dal Forno, Nara L. F.; Pereira, Cleonice C. S.

doi:10.1590/S0036-46651995000600014

Abstracts

We report a case of acute primary cutaneous infection of traumatic origin caused by Nocardia asteroides, appeared as cellulitis in a patient with systemic lupus erythematosus. Diagnosis was established by direct examination and cultures from aspirate specimens. The clinical forms of Nocardia infections that affect the skin, reported in Rio Grande do Sul and Uruguay, are discussed.

Acute primary cutaneous infection; Nocardia asteroides; Systemic lupus erythematosus

Relatamos um caso de infecção primária cutânea aguda de origem traumática, causada por Nocardia asteroides, que manifestou-se como celulite em paciente com lupus eritematoso sistêmico. O diagnóstico foi feito pelo exame direto e cultivos do aspirado da lesão. São discutidas as formas clínicas das infecções por Nocardia que afetam a pele, relatadas no Rio Grande do Sul e no Uruguai.

CASE REPORT

Acute primary cutaneous Nocardia asteroides infection in a patient with systemic lupus erythematosus. Case report

Infecção primária cutânea aguda por Nocardia asteroides em paciente com lupus eritematoso sistêmico

Jorge O. Lopes; Cristina B. Silva; Cláudio Kmohan; Loiva T. O. Oliveira; Nara L. F. Dal Forno; Cleonice C. S. Pereira

Serviço de Micologia, Hospital Universitário, Universidade Federal de Santa Maria, RS, Brasil

^{Correspondence to} Correspondence to: Jorge O. Lopes Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria 97119-970, Santa Maria, RS, Brasil

SUMMARY

We report a case of acute primary cutaneous infection of traumatic origin caused by Nocardia asteroides, appeared as cellulitis in a patient with systemic lupus erythematosus. Diagnosis was established by direct examination and cultures from aspirate specimens. The clinical forms of Nocardia infections that affect the skin, reported in Rio Grande do Sul and Uruguay, are discussed.

Keywords: Acute primary cutaneous infection; Nocardia asteroides; Systemic lupus erythematosus.

RESUMO

Relatamos um caso de infecção primária cutânea aguda de origem traumática, causada por Nocardia asteroides, que manifestou-se como celulite em paciente com lupus eritematoso sistêmico. O diagnóstico foi feito pelo exame direto e cultivos do aspirado da lesão. São discutidas as formas clínicas das infecções por Nocardia que afetam a pele, relatadas no Rio Grande do Sul e no Uruguai.

Full text available only in PDF format.

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Recebido para publicação em 19/06/1995.

Aceito para publicação em 14/07/1995.

1. BEAMAN, B.L.; BOIRON, P.; BEAMAN, L. et al. - Nocardia and nocardiosis. J. med. vet. Mycol., 30 (suppl. 1): 317-331, 1992.
2. BEAMAN, B.L. & BEAMAN, L. - Nocardia species: host-parasite relationships. Clin. Microbiol. Rev., 7: 213-264, 1994.
3. CONTI-DIAZ, I. - Micetomas y procesos premicetomatosos en el Uruguay. Mycopathologia (Den Haag), 72: 59-64, 1980.
4. CURRY, W.A. - Human nocardiosis. A clinical review with selected case reports. Arch. intern. Med., 140: 818-826, 1980.
5. HIRUMA, N.; KAWADA, A.; ISHIBASHI, A. & MIKAMI, Y. - Localized cutaneous nocardiosis in Japan. Mycopathologia (Den Haag), 117: 133-138, 1992.
6. KALB, R.E.; KAPLAN, M.H. & GROSSMAN, M.E. - Cutaneous nocardiosis: case reports and review. J. Amer. Acad. Derm. 13: 125-133, 1985.
7. LONDERO, A.T.; RAMOS, C.D. & MATTE, S.W. - Micetomas actinomicóticos no Rio Grande do Sul. Relato de quatro casos. Mem. Inst. Oswaldo Cruz, 81: 73-77, 1986.
8. LOPES, J.O.; BASSANESI, M.C.; ALVES, S.H. et al. - Cutaneous Nocardia asteroides infection of nontraumatic origin. Rev. Inst. Med. trop. S. Paulo, 36: 403-408, 1994.
9. ODDS, F.C.; ARAI, T.; DISALVO, A.F. et al. - Nomenclature of fungal diseases: a report and recommendation from a subcommittee of the International Society for Human and Animal Mycology (ISHAM). J. med. vet. Mycol., 30: 1-10, 1992.
10. SATTERWHITE, T.K. & WALLACE, R.J. - Primary cutaneous nocardiosis. J. Amer. med. Ass., 242: 333-336, 1979.

Correspondence to:

Jorge O. Lopes

Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria

97119-970, Santa Maria, RS, Brasil

Publication Dates

Publication in this collection
22 Sept 2006
Date of issue
Dec 1995

History

Accepted
14 July 1995
Received
19 June 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BEAMAN, B.L.; BOIRON, P.; BEAMAN, L. et al. - Nocardia and nocardiosis. J. med. vet. Mycol., 30 (suppl. 1): 317-331, 1992.

[2] 2. BEAMAN, B.L. & BEAMAN, L. - Nocardia species: host-parasite relationships. Clin. Microbiol. Rev., 7: 213-264, 1994.

[3] 3. CONTI-DIAZ, I. - Micetomas y procesos premicetomatosos en el Uruguay. Mycopathologia (Den Haag), 72: 59-64, 1980.

[4] 4. CURRY, W.A. - Human nocardiosis. A clinical review with selected case reports. Arch. intern. Med., 140: 818-826, 1980.

[5] 5. HIRUMA, N.; KAWADA, A.; ISHIBASHI, A. & MIKAMI, Y. - Localized cutaneous nocardiosis in Japan. Mycopathologia (Den Haag), 117: 133-138, 1992.

[6] 6. KALB, R.E.; KAPLAN, M.H. & GROSSMAN, M.E. - Cutaneous nocardiosis: case reports and review. J. Amer. Acad. Derm. 13: 125-133, 1985.

[7] 7. LONDERO, A.T.; RAMOS, C.D. & MATTE, S.W. - Micetomas actinomicóticos no Rio Grande do Sul. Relato de quatro casos. Mem. Inst. Oswaldo Cruz, 81: 73-77, 1986.

[8] 8. LOPES, J.O.; BASSANESI, M.C.; ALVES, S.H. et al. - Cutaneous Nocardia asteroides infection of nontraumatic origin. Rev. Inst. Med. trop. S. Paulo, 36: 403-408, 1994.

[9] 9. ODDS, F.C.; ARAI, T.; DISALVO, A.F. et al. - Nomenclature of fungal diseases: a report and recommendation from a subcommittee of the International Society for Human and Animal Mycology (ISHAM). J. med. vet. Mycol., 30: 1-10, 1992.

[10] 10. SATTERWHITE, T.K. & WALLACE, R.J. - Primary cutaneous nocardiosis. J. Amer. med. Ass., 242: 333-336, 1979.

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