trimethoprim--sulfamethoxazole-drug-combination and Lymphangitis

Topics: Abscess; Aged; Diagnosis, Differential; Edema; Female; Hand; Humans; Lymphangitis; Lymphatic Diseases; Nocardia; Nocardia Infections; Skin; Trimethoprim, Sulfamethoxazole Drug Combination

Nodular lymphangitis is an infectious disease characterised by the development of inflammatory skin nodules that follow the direction of lymphatic drainage. We present a woman in her 70s with nodular lymphangitis that developed after mild trauma with a cactus. Surgical intervention was performed on a finger abscess with isolation of

Topics: Abscess; Cellulitis; Female; Humans; Lymphangitis; Nocardia; Nocardia Infections; Trimethoprim, Sulfamethoxazole Drug Combination

Infections are the leading cause of morbidity and mortality in transplanted patients. The increasing number of immunocompromised patients has not only augmented infections by specific pathogens, but also by opportunistic microbial agents.. A mixed cutaneous infection caused by Nocardia brasiliensis and Exophiala jeanselmei is reported in a liver transplant patient.. The cutaneous lesions were painful nodules which drained purulent material. They were located on the right lower limb, with lymphadenopathies in the groin.. The patient was treated with itraconazole (600 mg/day) plus trimethoprim (1600 mg/day)-sulfamethoxazole (320 mg/day) for 8 weeks, with complete remission of the lesions.

Topics: Adult; Anti-Infective Agents; Dermatomycoses; Exophiala; Humans; Immunocompromised Host; Itraconazole; Liver Transplantation; Lymphangitis; Male; Nocardia; Nocardia Infections; Opportunistic Infections; Skin Diseases, Bacterial; Trimethoprim, Sulfamethoxazole Drug Combination

Topics: Agricultural Workers' Diseases; Anti-Bacterial Agents; Finger Injuries; Forearm; Humans; Lymphangitis; Male; Middle Aged; Mycobacterium Infections, Nontuberculous; Mycobacterium marinum; Trimethoprim, Sulfamethoxazole Drug Combination; Wound Infection; Wounds, Stab

Two cases of cutaneous nocardial infection are reported. The Nocardia species are gram-positive, partially acid-fast bacteria. Cutaneous involvement may develop as one of four types: (1) mycetoma, (2) lymphocutaneous (sporotrichoid) infection, (3) superficial skin infection, or (4) systemic disease with cutaneous involvement. A review of each of these types of infection is included, as well as potential clues that may suggest the diagnosis of nocardiosis.

Topics: Abscess; Aged; Amikacin; Drug Combinations; Facial Dermatoses; Humans; Lymphangitis; Male; Minocycline; Mycetoma; Nocardia; Nocardia asteroides; Nocardia Infections; Skin Diseases, Infectious; Skin Ulcer; Sulfamethoxazole; Sulfonamides; Trimethoprim; Trimethoprim, Sulfamethoxazole Drug Combination