Abstract
We report a case of localized cutaneous nocardiosis due to Nocardia asteroides, appearing on the anterior surface of the right forearm of a 29-year-old woman. Examination of the skin revealed a firm subcutaneous nodule measuring 32 × 20 mm and accompanied with a small ulcer. The histology of the lesion showed granulomatous changes interspersed with large numbers of polymorphonuclear leukocytes. On Gram staining, a few bacillary bodies were found scattered through the lesion, but no grains were detected. The classification of the clinical types of cutaneous nocardiosis is discussed, and the Japanese literature on localized cutaneous nocardiosis is examined.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Beaman BL, Burnside J, Edwards B, Causey W. Nocardial infections in the United States, 1972–1974. J Infect Dis 1976; 134: 286–89.
Satterwhite TK, Wallace RJ. Primary cutaneous nocardiosis. JAMA 1979; 242: 333–36.
Nishimoto K, Ohno M. Subcutaneous abscesses caused by Nocardia brasiliensis complicated by malignant lymphoma. A survery of cutaneous nocardiosis reported in Japan. Int J Dermatol 1985; 24: 437–40.
Rippon JW. Nocardiosis. In: Rippon JW, ed. Medical mycology, 3rd ed. Philadelphia: WB Sanders, 1988: 53–68.
Kalb RE, Kaplan MH, Grossman ME. Cutaneus nocardiosis. J Am Acad Dermatol 1985; 13: 125–33.
Vasarinsh P. Primary cutaneous nocardiosis. Arch Dermatol 1966; 98: 489–93.
Fukushiro R, Kumagai T. Cutaneous nocardiosis. Hifubyoh-shinryoh 1981; 3: 349–52.
Ohno M, Nishimoto K. Cutaneous nocardiosis in Japan. Jpn J Med Mycol 1990; 31: 265–73.
Fukushiro R, Kagawa S, Nishiyama S, Sasagawa S, Nishiwaki M, Kitamura K, Ikeda M, Kaji T, Yagishita K, Hirone T, Kumagai T, Matsumoto R. Some observation on nocardiosis. Nishinihon J Dermatol 1969; 31: 205–24.
Yasuraoka I, Okamoto S, Kobayashi S, Mikami Y, Iwatsu T. Cutaneous nocardiosis at the forearm. Nippon Hifuka Gakkai Zasshi 1980; 91: 887.
Kashiwa M, Nakakita T, Iwasa K. A case of nocardiosis. Nishinihon J Dermatol 1982; 46: 618.
Tanuma H, Umezawa A, Abe M, Kume H. Nodular lesion due to Nocardia asteroides. Hifubyo-shinryoh 1986; 8: 663–67.
Hatisuka H, Yoshida N, Nakano S, Sasai Y, Hitotsuki M, Kameyama A. A case of cutaneous nocardiosis. Nishinihon J Dermatol 1989; 51: 375.
Tanuma H, Ohota Y, Iwasaki M, Tone M, Abe M. Localized abscess form of cutaneous nocardiosis. Hifubyohshinryoh 1989; 11: 597–600.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hiruma, M., Kawada, A., Ishibashi, A. et al. Localized cutaneous nocardiosis in Japan. Mycopathologia 117, 133–138 (1992). https://doi.org/10.1007/BF00442773
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00442773