spp. are Gram-positive bacteria, which are acid-fast as well. Nocardiosis is characterized by abscess formation anywhere in the body, especially in the lungs, brain, and skin. The disease manifests as pulmonary disease, brain abscess, or disseminated lesions in immunocompromised individuals. However, skin involvement in the form of lymphocutaneous abscess is found in immunocompetent individuals. spp. appear as thin, branched filaments in fine needle aspirate under the microscope. Diagnosis of the nocardiosis is done by fine needle aspiration cytology (FNAC) and identification through matrix-assisted laser desorption/ionization-time of flight mass spectrometry from aspirated materials. Our case is lymphocutaneous nocardiosis in a patient having human immunodeficiency (HIV)/tuberculosis coinfection.
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| http://dx.doi.org/10.7759/cureus.22022 | DOI Listing |
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Article Synopsis
- spp. is a Gram-positive, partially acid-fast aerobic bacterium linked to infections in people with weak immune systems, affecting mainly the skin, lungs, and brain.
- A case study of a 66-year-old immunocompetent man demonstrates the importance of correct diagnosis, as he was misdiagnosed multiple times and inappropriately treated after a gardening injury.
- The case emphasizes the need for clinicians to be aware of rare causes of cellulitis, like nocardiosis, and the significance of thorough exposure histories for timely diagnoses.
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