We report the case of a 61-year-old female with ulcerative colitis on therapy with prednisone and azathioprine. The patient presented with fever, dry cough, a swollen lower extremity, and nodules on the right wrist and the scalp. Computed tomography scans of the head, chest, abdomen, and pelvis revealed multiple lesions. Aspirates and biopsies of the lower extremity cystic lesion, the wrist nodule, and the scalp nodule all grew out Nocardia nova. The patient was treated with high-dose trimethoprim and sulfamethoxazole therapy for one year and made a complete recovery.
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| http://dx.doi.org/10.1097/SMJ.0b013e3181faec65 | DOI Listing |
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