Disseminated Nocardia infection presenting as hemorrhagic pustules and ecthyma in a woman with systemic lupus erythematosus and antiphospholipid antibody syndrome

Journal of Dermatological Case Reports

Emily Fisher¹  Barbara Wilson³  Edit Olasz³  Daniel Mosel² 

[1] Medical College of Wisconsin, Department of Internal Medicine, 9200 W. Wisconsin Ave, Milwaukee, USA.Medical College of Wisconsin, Department of Internal Medicine, Division of Rheumatology, 9200 W. Wisconsin Ave, Milwaukee, USA;Medical College of Wisconsin, Department of Dermatology, 9200 W. Wisconsin Ave, Milwaukee, USA;

关键词: antiphospholipid syndrome;    infection;    systemic lupus erythematosus;   

DOI  :  10.3315/jdcr.2013.1142

学科分类：皮肤病学

来源: Specjalisci Dermatolodz

【 摘 要 】

Nocardia is an opportunistic pathogen that can cause disseminated infection in immunocompromised hosts. The most common type of skin lesion reported with disseminated Nocardia is a subcutaneous nodule; however, there are reports with unusual cutaneous presentations. Long term corticosteroid treatment is one of the largest risk factors for developing disseminated Nocardia. Initial treatment is empiric as each strain has unique susceptibilities and it takes weeks to speciate and test sensitivities.

【 授权许可】

Unknown