Thread by @IUIDfellowship

#idboardreview 40 M had motor vehicle accident 2 years ago, chronic wound which drains periodically. diagnosis? #meded #idmedEd #idtwitter

cutaneous #nocardia can present with superficial infection or mycetoma

#nocardia ubiquitous in soil, can establish superficial infection after trivial inoculation injuries, insect/animal bite, puncture wound, contaminated abrasions

#nocardia
N brasiliensis: most common cause of progressive cutaneous and lymphocutaneous (sporotrichoid) dz whereas
N asteroides more commonly causes self-limited infection

#nocardia primary cuteanous dx usually in immunocompetent hosts. Initial response to nocardia is pyogenic, self-limited lesion may be treated as staphy/strep however nocardial dz is more indolent
-More advanced disease leads to mycetoma w/sinus tract

#nocardia mycetoma chronic progressive destructive dz occuring days-months after inoculation, typically distal limbs

previous #nocardia case on our page

https://twitter.com/IUIDfellowship/status/1345528221555716096?s=20

previous #nocardia case on our page

https://twitter.com/IUIDfellowship/status/1328150563008212994?s=20

casereports.bmj.com/content/2015/b… #nocardia

ncbi.nlm.nih.gov/pmc/articles/P… #nocardia