AI Article Synopsis

  • A 62-year-old man with a history of corticosteroid use for pigeon breeder's disease developed multiple skin abscesses, leading to his admission to the endocrinology department.
  • Testing revealed the presence of Nocardia otitidiscaviarum, an infection typically problematic for immunocompromised individuals.
  • Despite poor prognosis for these patients, his condition improved significantly with prolonged treatment using trimethoprime-sulfamethoxazole, resulting in the disappearance of abscesses.

Article Abstract

A 62-year-old man, under long-term corticosteroid therapy for pigeon breeder's disease, was admitted to endocrinology disease department for cutaneous abscess on back, limbs and scalp. Culture of various bacteriological samples (cutaneous abscess, blood culture) isolated Nocardia otitidiscaviarum. The patient was treated by trimethoprime-sulfametoxazole during several weeks with abscess disappearance. Our laboratory quickly identificatied a bacteria belonging to the Nocardia genus, with simple technique, later confirmed by a specialized laboratory (Pr. Boiron Claude Bernard University Lyon I) with identification of Nocardia otitidiscaviarum. The proof of pulmonary nocardiosis could not be established despite the existente of several risk factors. Prognosis is poor for immunocompromised patients, but the secondary cutaneous dissemination phase presented a favourable evolution under antibiotic therapy.

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