2019 Volume 18 Issue 5 Pages 300-305
A 77-year-old female received cyclosporine and prednisolone for pure red cell aplasia and rheumatoid arthritis. She complained of general fatigue, fever, and multiple subcutaneous masses. We suspected actinomycetes infection based on Gram staining of pus from the subcutaneous abscess in the right cheek. Inflammatory signs and subcutaneous tumors were reduced by treatment with sulfamethoxazole-trimetoprim. In culture, Nocardia farcinica was detected and the patient was diagnosed with disseminated nocardiosis. Disseminated nocardiosis has a poor prognosis. Nocardiosis should be considered as a differential diagnosis of subcutaneous abscesses in immunocompromised patients to enable earlier treatment. Skin Research, 18 : 300-305, 2019
