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Case repository| Volume 44, ISSUE 4, P343.e1-343.e3, April 2019

An Acute Nocardia Infection in a Pediatric Hand

      Nocardia species are aerobic gram-positive filamentous organisms that may cause cutaneous or pulmonary disease in humans. Primary cutaneous nocardiosis may manifest as an acute superficial pyogenic infection that can mimic more common organisms such as Staphylococcus or Streptococcus. Acute pyogenic Nocardia infection of the pediatric hand is a rare manifestation of this condition. We present a 17-month-old boy who presented with an acute abscess formation on his left fourth and fifth digits that was found to be secondary to Nocardia brasiliensis.

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      References

        • Chen B.
        • Tang J.
        • Lu Z.
        • Wang N.
        • Gao X.
        • Wang F.
        Primary cutaneous Nocardiosis in a patient with nephrotic syndrome: a case report and review of the literature.
        Medicine (Baltimore). 2016; 95: e2490
        • Beaman B.L.
        • Burnside J.
        • Edwards B.
        • Causey W.
        Nocardial infections in the United States, 1972–1974.
        J Infect Dis. 1976; 134: 286-289
        • Stefano P.C.
        • Noriega A.L.
        • Kobrin A.L.
        • et al.
        Primary cutaneous nocardiosis in immunocompetent children.
        Eur J Dermatol. 2006; 16: 406-408
        • Wilson J.W.
        Nocardiosis: updates and clinical overview.
        Mayo Clin Proc. 2012; 87: 403-407
        • Saubolle M.A.
        • Sussland D.
        Nocardiosis: review of clinical and laboratory experience.
        J Clin Microbiol. 2003; 41: 4497-4501
        • McNeil M.M.
        • Brown J.M.
        The medically important aerobic actinomycetes: epidemiology and microbiology.
        Clin Microbiol Rev. 1994; 7: 357-417
        • Smego Jr., R.A.
        • Gallis H.A.
        The clinical spectrum of Nocardia brasiliensis infection in the United States.
        Rev Infect Dis. 1984; 6: 164-180
        • Law B.J.
        • Marks M.I.
        Pediatric nocardiosis.
        Pediatrics. 1982; 70: 560-565
        • Shifren J.D.
        • Milliken R.G.
        An acute Nocardia brasiliensis infection of the hand: a case report.
        J Hand Surg Am. 1996; 21: 309-310
        • Ricci J.A.
        • Weil A.A.
        • Eberlin K.R.
        Necrotizing cutaneous nocardiosis of the hand: a case report and review of the literature.
        J Hand Microsurg. 2015; 7: 224-227
      1. Wilhelm A, Romeo N, Trevino R. A rare cause of pyogenic flexor tenosynovitis: Nocardia nova [published online ahead of print January 15, 2018]. J Hand Surg Am. https://doi.org/10.1016/j.jhsa.2017.11.016.

        • Petersen D.P.
        • Wong L.B.
        Nocardia infection of the hand-case report.
        J Hand Surg Am. 1981; 6: 502-505