Primary Cutaneous Nocardial Infection
Presenting as Mycetoma: A Case Report
with a Short Review of Primary Cutaneous
Nocardial Infections in India
451-454
Correspondence
Dr. Mane Pratibha
Department of Microbiology,
Mamata Medical College,
Khammam, 507002.
Andhra Pradesh, India.
E-mail: drsachinkolte@sify.com
Primary cutaneous nocardiosis remains a diagnostic challenge. Here, we are reporting a case of primary cutaneous nocardiosis which was caused by N. brasiliensis and have reviewed the cases of primary cutaneous nocardiosis which have been published in the Indian literature. A 65-year old male patient, a farmer by occupation, came with a history of multiple draining sinuses over the medial aspect of the upper thigh. Gram staining of the discharge showed gram positive branching filamentous bacteria and modified Ziehl-Neelsen’s staining showed acid fast filamentous bacilli. The colonies were small, wrinkled, and dry and they produced an orange yellow coloured pigment. The isolate was identified as N. brasiliensis. The microbiologist as well as treating physician should also have a suspicion of nocardiosis for the early detection of this lesion.