Nocardia abscessus - associated subcutaneous infection in a patient with non-Hodgkin’s lymphoma

  • Ahmet Karakas Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Abdullah Kılıç Department of Medical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Cumhur Artuk Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Mutahher Akçaer Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Duran Tok Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Yüksel Yurttaş Department of Orthopedics and Traumatology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Ömer Coskun Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
  • Bülent Beşirbellioğlu Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey
Keywords: Immunosuppression, lymphoma, nocardiosis, Nocardia abscessus, primary cutaneous nocardiosis

Abstract

This paper describes primary subcutaneous infection caused by Nocardia abscessus in a 60-year-old male patient with the history of non-Hodgkin’s lymphoma and chronic lymphocytic leukemia. The patient was presented with pain and swelling in his left thigh for 45 days. Soft tissue ultrasonography showed a heterogeneous and hypoechoic mass consistent with an abscess. Gram-positive and branched filamentous bacilli, along with neutrophils, were identified in Gram-stained smears of the pus. The pus culture was positive for Gram-positive bacilli, which identified as N. abscessus. Initially, the patient was treated with trimethoprim-sulfamethoxazole (TMP-SMX). Due to insufficient clinical response, ceftriaxone was added for 2 weeks. Then, the patient was prescribed a 3-month course of TMP-SMX. It is important to start appropriate and effective treatment as soon as possible in patients with immunosuppression.

Author Biographies

Ahmet Karakas, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Abdullah Kılıç, Department of Medical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Medical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Cumhur Artuk, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Mutahher Akçaer, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Duran Tok, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Yüksel Yurttaş, Department of Orthopedics and Traumatology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Orthopedics and Traumatology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Ömer Coskun, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Bülent Beşirbellioğlu, Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy and School of Medicine, Faculty of Medicine, Ankara, Turkey

Published
2016-09-30
How to Cite
Karakas, A., Kılıç, A., Artuk, C., Akçaer, M., Tok, D., Yurttaş, Y., Coskun, Ömer, & Beşirbellioğlu, B. (2016). Nocardia abscessus - associated subcutaneous infection in a patient with non-Hodgkin’s lymphoma. Disease and Molecular Medicine, 4(3), 31-33. https://doi.org/10.5455/dmm.20160626070853
Section
Case Report