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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versão On-line ISSN 2312-3893


DEGGELLER PEREZ, Fátima Victoria et al. Lymphocutaneous nocardiosis in an immunocompromised patient. Rev. virtual Soc. Parag. Med. Int. [online]. 2020, vol.7, n.1, pp.123-128. ISSN 2312-3893.

The case of a patient, an elderly farmer who has hypertension, ischemic heart disease and prostate cancer with bone metastases in conservative treatment, is presented. He consults for a 15-day evolution case with flictenas in the upper limb and fever. During hospitalization, Nocardia basiliensis is isolated in the secretion of skin and is treated with trimethoprine - sulfamethoxazole. In the 15th day of hospitalization, health care-associated pneumonia is added. Subsequently, a destructive bone lesion in the spine is detected at the L3 level. He is discharged with the diagnosis of lymphocutaneous nocardiosis in an immunocompromised patient after 31 days of hospitalization with a good clinical response and with plans to continue antibiotic therapy.

Palavras-chave : nocardiosis; Nocardia brasiliensis; skin and soft tissue infections.

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