Document Detail


Disseminated subcutaneous Nocardia farcinica abscesses in a nephrotic syndrome patient.
MedLine Citation:
PMID:  9591807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe an unusual case of disseminated subcutaneous abscesses caused by Nocardia farcinica in a 49-year-old man with nephrotic syndrome. He had received systemic corticosteroid therapy for 5 months. He developed a submandibular abscess associated with sialoadenitis on the right submaxillary gland. Magnetic resonance imaging revealed connection between the submandibular abscess and the right submaxillary gland. The subcutaneous abscess spread from the submandibular triangle to the left axillary region, the left upper arm, the left hypochondriac region, the left scapular region, the right epigastric region, and the bilateral legs. A chest radiograph and computed tomograms of the chest and the brain did not reveal any pathologic changes. The patient was successfully treated by surgical drainage of the abscesses and by oral administration of minocycline.
Authors:
T Shimizu; H Furumoto; C Asagami; K Kanaya; Y Mikami; M Muto
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  38     ISSN:  0190-9622     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-06-02     Completed Date:  1998-06-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  874-6     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Yamaguchi University School of Medicine, Ube, Japan.
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MeSH Terms
Descriptor/Qualifier:
Abdomen / microbiology
Abscess / diagnosis*
Anti-Bacterial Agents / therapeutic use
Arm
Axilla / microbiology
Drainage
Focal Infection / diagnosis
Humans
Leg
Magnetic Resonance Imaging
Male
Middle Aged
Minocycline / therapeutic use
Nephrotic Syndrome / complications*
Nocardia / classification*
Nocardia Infections / diagnosis*
Scapula / microbiology
Shoulder / microbiology
Skin Diseases, Bacterial / diagnosis*
Submandibular Gland Diseases / diagnosis,  microbiology
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 10118-90-8/Minocycline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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