Madeo MC, Maris SNS, Stella MC, Videla E, Fernández BG

Language: Spanish
References: 9
Page: 48-51
PDF size: 293.74 Kb.

ABSTRACT

A 62-year-old patient showing ulcerative dermatosis on face, trunk and upper limbs associated with nonproductive cough and weight loss is presented. During hospitalization, disseminated nocardiosis and AIDS were diagnosed for the patient, who was unaware of these conditions. Nocardiosis is a rare disease suffered by HIV infected patients, which is usually underdiagnosed due to its polymorphic and specific-less clinical manifestations. It should be considered to establish a nocardiosis diagnose in immunocompromised patients with a CD4+ cell count lower than 10 cells/uL.

REFERENCES

1. Arenas R. Atlas de dermatología diagnóstico y tratamiento. 5ª Edición, Ed Mcgraw-Hill Interamericana, 2013. pp. 422-435.

2. Guzzi MM, Malieni D, Torre AC, Galimberti R. Nocardiosis cutánea y sus formas clínicas. Dermatol Argent. 2010; 16 (3): 195-198.

3. Biscione F, Cecchini D, Ambrosioni J, Bianchi M et al. Nocardiosis in patients with immunodeficiency virus infection. Enferm Infecc Microbiol Clin. 2005; 23: 419-423.

4. Santos J, Palacios R, Rivero A. Nocardiosis en pacientes con infección por VIH. Rev Clin Esp. 2002; 202: 375-378.

5. Helou S, Blanchi M, Robles AM, Negroni R y cols. Nocardiosis asociada al SIDA. Rev Argent Micol. 1998; 21 (3): 5-12.

6. Warren NG. Actinomicosis, nocardiosis y actinomicetoma. Dermatol Clin. 1996; 15: 85-95.

7. Brown JM, McNeil MM, Desmond EP. Nocardia, Rhodococcus, Gordona, Actinomadura, Streptomyces, and other actynomycetes of medical importance. Manual of Microbiology. 7a ed., Washington DC, 1999. pp. 370-398.

8. Sorrell TC, Mitchell DH, Iredell JR, Nocardiosis GL, Mandell R, Gordon D et al. Enfermedades infecciosas, principios y prácticas. Ed. Médica Panamericana 2005. pp. 2916-2922.

9. Threlkeld SC, Hooper DC. Update on management of patients with Nocardia Infection. Curr Clin Top Infect Dis. 1997; 17: 1-23.